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DWIGHT S. CLARKE, MD, PLLC
NPI 1114150778
Internal Medicine - Infectious Disease in Phoenix, AZ

Active since August 31, 2009
340 E PALM LN, STE 260, PHOENIX, AZ 85004(602) 254-1136(602) 279-1720 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dwight S. Clarke, Md, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DWIGHT S. CLARKE, MD, PLLC (NPI 1114150778) is a healthcare organization registered as an infectious disease in Phoenix, Arizona and active in the NPI registry since August 2009. The organization lists Bobbie Ronsman, Credentialing Mgr, as its authorized official.

NPPES Registry Identity

NPI1114150778
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameDWIGHT S. CLARKE, MD, PLLC
Location Address340 E PALM LN, STE 260Phoenix, AZ 85004-4603
Mailing AddressPo Box 39179Phoenix, AZ 85069-9179 · (602) 395-0718 · Fax (602) 277-8146
Phone(602) 254-1136
Fax(602) 279-1720
Organization SubpartNo
Authorized OfficialBobbie RonsmanCredentialing Mgr · (602) 395-0718
Enumeration DateAugust 31, 2009
Last NPPES UpdateJuly 14, 2011
✔ NPI 1114150778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
340 E PALM LN, Phoenix, AZ 85004
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Other Identifiers 2

Medicaid859142AZ
Medicare PINZ135436AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dwight S. Clarke, Md, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dwight S. Clarke, MD, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dwight Clarke, MD
Infectious Disease
NPI 1477555845
646 VIRGINIA ST STE 421
Dunedin, FL 34698
(727) 734-6932
✔ PECOS✔ Accepts Medicare1,776 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dwight S. Clarke, MD, PLLC's NPI number?

The NPI number for Dwight S. Clarke, MD, PLLC is 1114150778. It was assigned to this organization in the NPPES registry on August 31, 2009.

Where is Dwight S. Clarke, MD, PLLC located?

Dwight S. Clarke, MD, PLLC is located at 340 E Palm Ln Ste 260, Phoenix, AZ 85004. The listed phone number is (602) 254-1136.

What is Dwight S. Clarke, MD, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Dwight S. Clarke, MD, PLLC enrolled in Medicare?

Yes. Dwight S. Clarke, MD, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dwight S. Clarke, MD, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Dwight S. Clarke, MD, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dwight S. Clarke, MD, PLLC was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.