CAROL CLARK
NPI 1215996574
Emergency Medicine in Royal Oak, MI
About Carol Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL CLARK (NPI 1215996574) is an individual emergency medicine provider in Royal Oak, Michigan, licensed in Michigan (4301050141) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Wayne State University School Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carol Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Carol Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 946 clinicians in this Medicare group
Detroit, MI 48201
- Reassigned Medicare billing, Michigan enrollment
- 83 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Emergency Department Physicians PC
- 237 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Grosse Pointe
Acute Care Hospitals · Grosse Pointe, MIBeaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
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 Carol Clark's NPI number?
The NPI number for Carol Clark is 1215996574. It was assigned to this individual provider in the NPPES registry on March 23, 2006.
Where is Carol Clark located?
Carol Clark practices at 3601 W 13 Mile Rd Ec, Royal Oak, MI 48073. The listed phone number is (248) 898-0575.
What is Carol Clark's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Carol Clark enrolled in Medicare?
Yes. Carol Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carol Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Clark reassigns Medicare benefits to 3 organizations: Beaumont Medical Group Hospital -Based Services (Royal Oak, MI), Michigan Emergency Services (Detroit, MI) and Emergency Department Physicians, P.C. (Detroit, MI). Each 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 Carol Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Clark accept?
Health plans from Priority Health list Carol Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Carol Clark affiliated with any hospitals?
According to CMS data, Carol Clark is affiliated with Beaumont Hospital - Grosse Pointe and Beaumont Hospital Royal Oak.
When was this NPI record last updated?
The NPPES record for Carol Clark was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Carol Clark · NPI 1215996574
Emergency Medicine physician in Royal Oak, Michigan. Individual provider, active in the CMS NPPES registry since March 23, 2006.
## Identity
- **NPI:** 1215996574 (Entity type: Individual)
- **Enumerated:** March 23, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 4301050141 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 W 13 MILE RD, EC, Royal Oak, MI 48073-6712
- **Phone:** (248) 898-0575
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Beaumont Medical Group Hospital -Based Services (NPI 1427567858, Royal Oak, MI); Michigan Emergency Services (NPI 1316968191, Detroit, MI); Emergency Department Physicians, P.C. (NPI 1225083595, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** April 28, 2025
- **Other identifiers:** Medicaid 2746544 (MI); Other 010F362410 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1215996574) · Data from the CMS NPPES public registry.