Active NPI
Andrew Clark
- Diagnostic Radiology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 308280
- Practice address
- 601 Elmwood Ave
Rochester, NY 14642-1000 - Phone
- (585) 784-2985
- NPI assigned
- Jun 5, 2015
- Last updated
- Jul 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 308280 | NY | |
| Internal Medicine Physician | 207R00000X | 2015017144 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 308280 | NY | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Rochester, NY 14642-1000
Mailing address
601 Elmwood Ave Box 648
Rochester, NY 14642-0001
Phone (585) 275-2734
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aclark107254@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | aclark107254@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Miracle Mile Dr
Rochester, NY 14623-5851
Phone (585) 602-4423
1000 S Ave
Rochester, NY 14620-2733
Phone (585) 341-6785
111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-4235
156 W Ave
Brockport, NY 14420-1229
Phone (585) 784-2985
191 N Main St
Wellsville, NY 14895-1150
Phone (585) 596-4013
2064 Fairport Nine Mile Point Rd
Suite 110
Penfield, NY 14526-1750
Phone (585) 758-0334
350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6910
42 Nichols St
Spencerport, NY 14559-2180
Phone (585) 349-7094
601 Elmwood Ave
Rochester, NY 14642-0001
601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2734
7329 Seneca Rd N
Hornell, NY 14843-9684
Phone (607) 247-2211
Hospital & facility affiliations
- Strong Memorial Hospital
- Nicholas H Noyes Memorial Hospital
- F F Thompson Hospital
- St James Hospital
- Jones Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.74 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308280 | NY | MD | Licensed Practical Nurse |
| 2015017144 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St James Hospital | Current | Accepting new patients | |
| Radiologists of Univ of Rochester | Diagnostic Radiology | Current | Accepting new patients |
Locations
7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790
7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
#648
Rochester, NY 14642
Phone (585) 275-1376
Interoperability endpoints
- aclark107254@direct.urmc.rochester.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Rochester, NY
- NPI 1821030362
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- General Acute Care Hospital
- Canandaigua, NY
- NPI 1194776351
-
dba Jones Memorial Hospital
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1740660539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX 648",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146421000",
"telephone_number": "585-784-2985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-05",
"last_updated": "2023-07-07",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "308280",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2015017144",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "308280",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aclark107254@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aclark107254@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.