NPIMap

Individual provider Active NPI

Ronald J Clarke, DO

  • Family Medicine Physician
  • Niagara Falls, NY
National Provider Identifier
1649256199
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
155232 Issued in NY
Practice address
6950 Williams Road
Niagara Falls, NY 14304
Phone
(716) 297-1027
Fax
(716) 298-4081
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 155232 NY Primary

Addresses

Primary practice location

6950 Williams Road
Niagara Falls, NY 14304

Mailing address

6950 Williams Road
Niagara Falls, NY 14304
Phone (716) 297-1027

Other identifiers 1

IdentifierTypeStateIssuer
00892360MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000316 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0648173880 Reassigns benefits to 2 organizations
Receives reassigned benefits from 2 practitioners
Practice locations: Niagara Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarke Family Medicine LLPGroup PAC ID 5395083653, 3 clinicians

Practice addresses (Care Compare)

6950 Williams Rd
Niagara Falls, NY 14304-3025
Phone (716) 297-1027

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Amedisys Home Health Care (Amherst) Home health agency, Williamsville, NY, CCN 337248
  • McAuley Seton Home Care Corp Chha Home health agency, Buffalo, NY, CCN 337251
  • Niagara Hospice Inc Hospice, Lockport, NY, CCN 331530
  • Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Apr 15, 2012 Accepting new patients
Clarke Family Medicine, LLP Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Apr 15, 2012 Accepting new patients
Ronald J Clarke DO Family Medicine PastSince Aug 21, 2012 Accepting new patients
Niagara Falls Memorial Medical Center Past Accepting new patients

Locations

1801 Grand Island Blvd
Ste 300
Grand Island, NY 14072
Phone (716) 297-1027

6950 Williams Rd
Niagara Falls, NY 14304
Phone (716) 205-0773

620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • Direct secure messaging: rclarke@clarke.medentdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1649256199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 WILLIAMS ROAD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14304",
            "telephone_number": "716-297-1027",
            "fax_number": "716-298-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 WILLIAMS ROAD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14304",
            "telephone_number": "716-297-1027",
            "fax_number": "716-298-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "155232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00892360",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.