Active NPI
Romnee S Clark, M.D.
- Hematology & Oncology Physician
- Indianapolis, IN
National Provider Identifier
1699731117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 01050697
- Practice address
- 535 Barnhill Dr
RT 473
Indianapolis, IN 46202-5112 - Phone
- (317) 278-7576
- NPI assigned
- Apr 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 01050697 | IN | Primary |
Addresses
Primary practice location
535 Barnhill Dr
RT 473
Indianapolis, IN 46202-5112
Mailing address
550 N Meridian St
Ste 114
Indianapolis, IN 46204-1207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200543250 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1699731117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N MERIDIAN ST",
"address_2": "STE 114",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462041207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 BARNHILL DR",
"address_2": "RT 473",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025112",
"telephone_number": "317-278-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ROMNEE",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-24",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01050697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200543250",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.