CORNELL M CLARK M.D.
NPI 1700990421
Family Medicine in Las Vegas, NV
About Cornell M Clark M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORNELL M CLARK M.D. (NPI 1700990421) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (6460) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Cornell M 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 89106 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.
LAS VEGAS, NV 89106
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 Cornell Clark's NPI number?
The NPI number for Cornell Clark is 1700990421. It was assigned to this individual provider in the NPPES registry on August 18, 2006.
Where is Cornell Clark located?
Cornell Clark practices at 888 S Rancho Dr, Las Vegas, NV 89106. The listed phone number is (702) 877-5199.
What is Cornell Clark's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cornell Clark enrolled in Medicare?
Yes. Cornell 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.
What insurance does Cornell Clark accept?
Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Cornell 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 Cornell Clark was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Cornell M Clark, M.D. · NPI 1700990421
Family Medicine physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1700990421 (Entity type: Individual)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 6460 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 888 S RANCHO DR, Las Vegas, NV 89106-3810
- **Phone:** (702) 877-5199 · **Fax:** (702) 258-6152
## 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 1981
## Record status
- **NPPES last updated:** March 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1700990421) · Data from the CMS NPPES public registry.