KYRA P CLARK M.D.
NPI 1871552968
Internal Medicine - Sleep Medicine in Phoenix, AZ

Q: What is Kyra Clark's NPI number?

The NPI number for Kyra Clark is 1871552968. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Q: What is Kyra Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Q: When was this NPI record last updated?

The NPPES record for Kyra Clark was last updated on October 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2006PECOS Enrolled

650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012(602) 277-5551 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2020, Oct 10, 2018 (2 updates tracked since 2018).

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About Kyra P Clark M.d. NPPES

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

KYRA P CLARK M.D. (NPI 1871552968) is an individual sleep medicine provider in Phoenix, Arizona, licensed in Georgia (68133) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1871552968

Entity TypeIndividualFemale

Primary Taxonomy207RS0012X

Provider Legal NameKYRA P CLARKCredential: M.D.

Location Address650 E INDIAN SCHOOL RDPhoenix, AZ 85012-1839

Mailing Address650 E Indian School RdPhoenix, AZ 85012-1839 · (022) 775-5516

Phone(602) 277-5551

Sole ProprietorYes

Enumeration DateMarch 20, 2006

Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration

NPPES CertifiedOctober 8, 2020

✔ NPI 1871552968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0012X

Licenses✔ Licensed in GA · 68133✔ Licensed in TX · P0967✔ Licensed in DE · C1-0007849

Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

650 E INDIAN SCHOOL RD, Phoenix, AZ 85012

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Secondary Practice Location 1

Location 180 Jesse Hill Jr Dr SEAtlanta, GA 30303-3031 · Phone (404) 616-1000

Other Identifiers 2

Medicaid003125645FGA

Medicaid003125645BGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyra P Clark M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 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.

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