DR. RACHAEL CLARK MD
NPI 1235870460
Obstetrics & Gynecology - Complex Family Planning in Salt Lake City, UT
About Dr. Rachael Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RACHAEL CLARK MD (NPI 1235870460) is an individual complex family planning provider in Salt Lake City, Utah, licensed in Utah (14277762-1205) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains a secondary practice location in Worcester.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Rachael Clark Md 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 Reassignment
Medicare enrollment records show Rachael Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84112 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84112
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 Rachael Clark's NPI number?
The NPI number for Rachael Clark is 1235870460. It was assigned to this individual provider in the NPPES registry on April 3, 2022.
Where is Rachael Clark located?
Rachael Clark practices at 30 N Mario Capecchi Dr 5s126, Salt Lake City, UT 84112. The listed phone number is (801) 213-9299.
What is Rachael Clark's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Complex Family Planning, with taxonomy code 207VC0300X.
Is Rachael Clark enrolled in Medicare?
Yes. Rachael 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 organization bills Medicare for Rachael Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Clark reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The 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 Rachael Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachael Clark accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Rachael 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 Rachael Clark affiliated with any hospitals?
According to CMS data, Rachael Clark is affiliated with Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Rachael Clark was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Rachael Clark, MD · NPI 1235870460
Complex Family Planning physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 3, 2022.
## Identity
- **NPI:** 1235870460 (Entity type: Individual)
- **Enumerated:** April 3, 2022
- **Primary specialty:** Obstetrics & Gynecology - Complex Family Planning · taxonomy 207VC0300X
- **State license:** 14277762-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 N MARIO CAPECCHI DR 5S126, Salt Lake City, UT 84112
- **Phone:** (801) 213-9299
## 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:** University Of Utah Adult Services (NPI 1003210808, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235870460) · Data from the CMS NPPES public registry.