AARON K. CLARK MD PC
NPI 1477740090
Family Medicine in Port Huron, MI
About Aaron K. Clark Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AARON K. CLARK MD PC (NPI 1477740090) is a healthcare organization registered as a family medicine in Port Huron, Michigan and active in the NPI registry since September 2007. The organization maintains a secondary practice location in Port Huron and lists Aaron Kenneth Clark, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aaron K. Clark Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Aaron K. Clark MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Aaron K. Clark MD PC's NPI number?
The NPI number for Aaron K. Clark MD PC is 1477740090. It was assigned to this organization in the NPPES registry on September 27, 2007.
Where is Aaron K. Clark MD PC located?
Aaron K. Clark MD PC is located at 1984 Holland Ave, Port Huron, MI 48060. The listed phone number is (810) 982-2095.
What is Aaron K. Clark MD PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Aaron K. Clark MD PC enrolled in Medicare?
Yes. Aaron K. Clark MD PC is registered in the Medicare PECOS enrollment system.
When is Aaron K. Clark MD PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Aaron K. Clark MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Aaron K. Clark MD PC. 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. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Aaron K. Clark MD PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Aaron K. Clark MD PC 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.
When was this NPI record last updated?
The NPPES record for Aaron K. Clark MD PC was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Aaron K. Clark Md Pc · NPI 1477740090
Family Medicine organization in Port Huron, Michigan. Organization record, active in the CMS NPPES registry since September 27, 2007.
## Identity
- **NPI:** 1477740090 (Entity type: Organization)
- **Enumerated:** September 27, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Aaron Clark, OWNER
## Practice location
- **Address:** 1984 HOLLAND AVE, Port Huron, MI 48060-1520
- **Phone:** (810) 982-2095 · **Fax:** (810) 982-8513
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2024
- **Other identifiers:** Other 080G412290 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1477740090) · Data from the CMS NPPES public registry.