NPIMap

Individual provider Active NPI

Samuel Clark Trask, MD

  • Family Medicine Physician
  • Beaufort, SC
National Provider Identifier
1730160896
Registry record updated Nov 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26623 Issued in SC
Practice address
1094 Ribaut Rd
Beaufort, SC 29902
Phone
(843) 524-2001
Fax
(843) 379-2004
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2017

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 26623 SC Primary

Addresses

Primary practice location

1094 Ribaut Rd
Beaufort, SC 29902

Mailing address

1094 Ribaut Rd
Beaufort, SC 29902-5437
Phone (843) 524-2001

Other names 1

  • S Clark Trask Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20050919000582 SC Practitioner - Family Practice 9335187699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

1094 Ribaut Rd
Beaufort, SC 29902-5437
Phone (843) 524-2001

18 Professional Village Cir
Beaufort, SC 29907-1570
Phone (843) 986-9670

Hospital & facility affiliations

  • Amedisys Home Health of Beaufort Home health agency, Ladys Island, SC, CCN 427304
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ribaut Medical Partners, LLC Family Medicine Current Accepting new patients
Ribaut Medical Partners, LLC CurrentSince Oct 2, 2017 Accepting new patients
Beaufort Family Medicine, PA Family Medicine PastSince Apr 19, 2005 Accepting new patients
Coastal Caremd Family Medicine PastSince Feb 1, 2009 Accepting new patients

Locations

1094 Ribaut Rd
Beaufort, SC 29902
Phone (843) 524-2001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16330/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511049600000",
    "number": "1730160896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025437",
            "telephone_number": "843-524-2001",
            "fax_number": "843-379-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-524-2001",
            "fax_number": "843-379-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRASK",
        "first_name": "SAMUEL",
        "middle_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2017-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "26623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S",
            "last_name": "TRASK",
            "middle_name": "CLARK",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.