DR. KENNETH A CLARK MD
NPI 1902880370
Internal Medicine in Galax, VA
About Dr. Kenneth A Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH A CLARK MD (NPI 1902880370) is an individual internal medicine provider in Galax, Virginia, licensed in Virginia (0101-041662) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and is a graduate of University Of South Florida College Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
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
Dr. Kenneth A Clark Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kenneth Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Galax, VA 24333
- Reassigned Medicare billing, Virginia enrollment
- 608 clinicians in this Medicare group
Roanoke, VA 24011
- Reassigned Medicare billing, Virginia enrollment
- 956 clinicians in this Medicare group
Danville, VA 24541
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Apogee Medical Group Virginia PC
- 121 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Regional Hospital
Acute Care Hospitals · Mount Airy, NCCarilion New River Valley Medical Center
Acute Care Hospitals · Christiansburg, VAWythe County Community Hospital
Acute Care Hospitals · Wytheville, VATwin County Regional Hospital
Acute Care Hospitals · Galax, VACarilion Giles Community Hospital
Critical Access Hospitals · Pearisburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24333 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 25
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kenneth Clark's NPI number?
The NPI number for Kenneth Clark is 1902880370. It was assigned to this individual provider in the NPPES registry on November 30, 2005.
Where is Kenneth Clark located?
Kenneth Clark practices at 199 Hospital Dr Suite 5, Galax, VA 24333. The listed phone number is (276) 236-6136.
What is Kenneth Clark's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kenneth Clark enrolled in Medicare?
Yes. Kenneth 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 Kenneth Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Clark reassigns Medicare benefits to 3 organizations: Carilion Giles Community Hospital (Galax, VA), Carilion Healthcare Corporation (Roanoke, VA) and Apogee Medical Group, Virginia, P.C. (Danville, VA). 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 Kenneth Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kenneth Clark affiliated with any hospitals?
According to CMS data, Kenneth Clark is affiliated with Northern Regional Hospital, Carilion New River Valley Medical Center, Wythe County Community Hospital, Twin County Regional Hospital and Carilion Giles Community Hospital.
When was this NPI record last updated?
The NPPES record for Kenneth Clark was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Kenneth A Clark, MD · NPI 1902880370
Internal Medicine physician in Galax, Virginia. Individual provider, active in the CMS NPPES registry since November 30, 2005.
## Identity
- **NPI:** 1902880370 (Entity type: Individual)
- **Enumerated:** November 30, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101-041662 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 199 HOSPITAL DR, SUITE 5, Galax, VA 24333-2454
- **Phone:** (276) 236-6136
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Carilion Giles Community Hospital (NPI 1235756354, Galax, VA); Carilion Healthcare Corporation (NPI 1447206370, Roanoke, VA); Apogee Medical Group, Virginia, P.C. (NPI 1861660540, Danville, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Florida College Of Medicine, class of 1986
## Record status
- **NPPES last updated:** October 24, 2014
- **Other identifiers:** Medicare UPIN E65850 (VA); Medicare PIN 110007468; Medicaid 005826781 (VA); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1902880370) · Data from the CMS NPPES public registry.