EDWARD CLARK MD
NPI 1356318174
Family Medicine in Henderson, NV

Q: What is Edward Clark's NPI number?

The NPI number for Edward Clark is 1356318174. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Q: What is Edward Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Clark was last updated on October 17, 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.

Active since March 01, 2006PECOS Enrolled

595 W LAKE MEAD PKWY, HENDERSON, NV 89015(702) 565-1007(702) 565-0836 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2022, Dec 13, 2017, Sep 2, 2016 (3 updates tracked since 2016).

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About Edward Clark Md NPPES

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

EDWARD CLARK MD (NPI 1356318174) is an individual family medicine provider in Henderson, Nevada, licensed in Nevada (11309) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356318174

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameEDWARD CLARKCredential: MD

Location Address595 W LAKE MEAD PKWYHenderson, NV 89015-7015

Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883

Phone(702) 565-1007

Fax(702) 565-0836

Sole ProprietorNo

Enumeration DateMarch 1, 2006

Last NPPES UpdateOctober 17, 20223 updates tracked since enumeration

NPPES CertifiedOctober 17, 2022

✔ NPI 1356318174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 11309

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

595 W LAKE MEAD PKWY, Henderson, NV 89015

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Secondary Practice Locations 2

Location 110652 S Eastern AveHenderson, NV 89052-4952 · Phone (702) 476-2800 · Fax (702) 476-2040

Location 2283 N Pecos RdHenderson, NV 89074-1918 · Phone (702) 430-3570 · Fax (702) 430-3571

Other Identifiers 5

Medicaid1005063739NV

Medicaid100506374NV

Medicaid1356318174NV

Other11309NV · Nv License

Other11309NV · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Edward Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Intermountain Medical Holdings Nevada Inc

Same address

Internal Medicine

595 W LAKE MEAD PKWY
Henderson, NV 89015

Reassigned Medicare billing, Nevada enrollment
521 clinicians in this Medicare group

NPI 1245997279 (702) 566-5500

Urgent Care Nevada, LLC

6.3 mi

Urgent Care

10652 S EASTERN AVE, SUITE A
Henderson, NV 89052

Reassigned Medicare billing, Nevada enrollment
107 clinicians in this Medicare group

NPI 1134546575 (702) 476-2800

Southwest Medical Associates, Inc

13 mi

Internal Medicine

888 S RANCHO DR
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
406 clinicians in this Medicare group

NPI 1659346005 (702) 877-8600

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

41 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WINFRED DARRYL WILLIAMS M.D.

Family Medicine