DR. MARY ELIZABETH REVILLA CLARK M.D.
NPI 1225109770
Internal Medicine - Gastroenterology in San Francisco, CA
About Dr. Mary Elizabeth Revilla Clark M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY ELIZABETH REVILLA CLARK M.D. (NPI 1225109770) is an individual gastroenterology provider in San Francisco, California, licensed in California (A98304) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mary Elizabeth Revilla Clark M.d. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
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 Mary Elizabeth Clark's NPI number?
The NPI number for Mary Elizabeth Clark is 1225109770. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Mary Elizabeth Clark located?
Mary Elizabeth Clark practices at 2333 Buchanan St Suite 5823, San Francisco, CA 94115. The listed phone number is (415) 644-5752.
What is Mary Elizabeth Clark's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Mary Elizabeth Clark enrolled in Medicare?
Yes. Mary Elizabeth 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.
When was this NPI record last updated?
The NPPES record for Mary Elizabeth Clark was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Mary Elizabeth Revilla Clark, M.D. · NPI 1225109770
Gastroenterology physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1225109770 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** A98304 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2333 BUCHANAN ST, SUITE 5823, San Francisco, CA 94115-1925
- **Phone:** (415) 644-5752
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** January 13, 2022
- **Other identifiers:** Other MD-12890 (HI); Other A98304 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1225109770) · Data from the CMS NPPES public registry.