RANDOLPH A CLARK M.D.
NPI 1568456036
Internal Medicine in Phoenix, AZ

Q: What is Randolph Clark's NPI number?

The NPI number for Randolph Clark is 1568456036. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Q: What is Randolph Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Clark was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment

2510 W DUNLAP AVE STE 290, PHOENIX, AZ 85021(602) 789-0344(602) 789-8389 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 7, 2025, May 4, 2023, Apr 13, 2023 and 2 more (5 updates tracked since 2017).

On this page

About Randolph A Clark M.d. NPPES

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

RANDOLPH A CLARK M.D. (NPI 1568456036) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (27792) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Southern California Keck School Of Medicine (1998).

NPPES Registry Identity

NPI1568456036

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRANDOLPH A CLARKCredential: M.D.

Location Address2510 W DUNLAP AVE STE 290Phoenix, AZ 85021-2759

Mailing Address2510 W Dunlap Ave Ste 290Phoenix, AZ 85021-2759 · (602) 789-0344 · Fax (602) 789-8389

Phone(602) 789-0344

Fax(602) 789-8389

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1998

Enumeration DateSeptember 9, 2005

Last NPPES UpdateApril 7, 20255 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1568456036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in AZ · 27792✔ Licensed in NV · 26212

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2510 W DUNLAP AVE STE 290, Phoenix, AZ 85021

Open in Google Maps ↗

Secondary Practice Locations 2

Location 16880 S McCarran Blvd Ste 5Reno, NV 89509-6129 · Phone (775) 398-1981 · Fax (775) 398-1984

Location 22645 E Southern AveTempe, AZ 85282-7649 · Phone (623) 624-8280 · Fax (602) 835-0192

Other Identifiers 1

Medicaid648751AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

Randolph A 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.

PECOS PAC ID7517916463

PECOS Enrollment IDI20081203000150, I20240820001028

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

Clark Medical And Post-Acute Services, LLC

7.8 mi

Geriatric Medicine

10810 N TATUM BLVD STE 102-107
Phoenix, AZ 85028

Reassigned Medicare billing, Arizona enrollment
9 clinicians in this Medicare group

NPI 1437851417 (602) 568-4362

Geriatric Specialty Care Of Nevada, PLLC, Steven L. Phillips, M.D.

590 mi

Geriatric Medicine

6880 S MCCARRAN BLVD STE 5
Reno, NV 89509

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

NPI 1205088838 (775) 398-1981

Pine Park Health, Inc

644 mi

Internal Medicine

1901 4TH ST STE 201
Berkeley, CA 94710

Reassigned Medicare billing, Arizona enrollment
6 clinicians in this Medicare group

NPI 1346879848 (510) 929-1400

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 16

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

268 services117 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

268 services161 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

238 services110 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

194 services128 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

181 services167 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

130 services97 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

121 services115 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

67 services52 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

61 services50 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

31 services15 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

26 services24 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

19 services19 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

17 services15 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

17 services15 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85021 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

95%239 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers24 claims24 services$62.16 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

6 suppliers93 claims93 services$20.84 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers22 claims22 services$9.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

IRVIN SAM BELZER MD

Internal Medicine

2510 W DUNLAP AVE STE 290
PHOENIX, AZ 85021

Maricopa County (602) 789-0344

DR. JASON SCOTT COUCH D.O.

Pediatrics (Neonatal-Perinatal Medicine)

2510 W DUNLAP AVE STE 290, SUITE # 290
PHOENIX, AZ 85021

Maricopa County (602) 789-0344

RYAN ALDER F.N.P.

Nurse Practitioner (Family)

2510 W DUNLAP AVE STE 290
PHOENIX, AZ 85021

Maricopa County (602) 789-0344

JUDITH MARY BECK MD

Family Medicine

2510 W DUNLAP AVE STE 290
PHOENIX, AZ 85021

Maricopa County (602) 789-0344

GARY ROBERT HENSLEY

Internal Medicine

2510 W DUNLAP AVE STE 290
PHOENIX, AZ 85021

Maricopa County (602) 789-0344

DR. ZAFAR ABDUL QUADIR MD

Pediatrics

2510 W DUNLAP AVE STE 290
PHOENIX, AZ 85021

Maricopa County (602) 789-0344

SARAH SHB BANNISTER D.O.

Pediatrics

2510 W DUNLAP AVE STE 290
PHOENIX, AZ 85021

Maricopa County (602) 789-0344

MARY E. MERKEL M.D.

Physical Medicine & Rehabilitation

2510 W DUNLAP AVE STE 290
PHOENIX, AZ 85021

Maricopa County (602) 789-0344

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 Randolph Clark's NPI number?

The NPI number for Randolph Clark is 1568456036. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Randolph Clark located?

Randolph Clark practices at 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021. The listed phone number is (602) 789-0344.

What is Randolph Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Randolph Clark enrolled in Medicare?

Yes. Randolph 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 Randolph Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randolph Clark reassigns Medicare benefits to 3 organizations: Clark Medical And Post-Acute Services, LLC (Phoenix, AZ), Geriatric Specialty Care Of Nevada, PLLC, Steven L. Phillips, M.D. (Reno, NV) and Pine Park Health, Inc (Berkeley, CA). 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 Randolph Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randolph Clark accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Randolph 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.

When was this NPI record last updated?

The NPPES record for Randolph Clark was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.