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WILLIAM D CLARK MD
NPI 1922096718
Pediatrics - Neonatal-Perinatal Medicine in Dearborn, MI

Active since October 06, 2005PECOS Enrolled
18101 OAKWOOD BLVD STE 124, DEARBORN, MI 48124(313) 586-5011(313) 592-7134 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About William D Clark Md NPPES

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

WILLIAM D CLARK MD (NPI 1922096718) is an individual neonatal-perinatal medicine provider in Dearborn, Michigan, licensed in Michigan (4301068667) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1922096718
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameWILLIAM D CLARKCredential: MD
Location Address18101 OAKWOOD BLVD STE 124Dearborn, MI 48124-4089
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone(313) 586-5011
Fax(313) 592-7134
Sole ProprietorNo
Enumeration DateOctober 6, 2005
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1922096718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MI · 4301068667
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
18101 OAKWOOD BLVD STE 124, Dearborn, MI 48124
Open in Google Maps ↗

Secondary Practice Location 1

Location 118501 Rotunda Dr Ste 200Dearborn, MI 48124-3891 · Phone (313) 996-1960

Other Identifiers 1

Medicaid4577146MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

William D Clark Md 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.

Medicare Billing Reassignments

4

Medicare enrollment records show William Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oakwood Ambulatory LLC
Same address
Internal Medicine
18101 OAKWOOD BLVD
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 453 clinicians in this Medicare group
NPI 1003829441 (313) 593-7000
Ascension St John Hospital
11 mi
Hematology & Oncology
22301 FOSTER WINTER DR, 2N FLOOR
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health St. John Hospital
  • 520 clinicians in this Medicare group
NPI 1922397058 (248) 552-0620
Ascension Providence Hospital
12 mi
Psychiatry
16001 W 9 MILE RD, PHYSICIAN BILLING SERVICES
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health Providence Hospital
  • 393 clinicians in this Medicare group
NPI 1619932670 (248) 849-3000
Beaumont Medical Group Hospital -Based Services
15 mi
Hospitalist
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 946 clinicians in this Medicare group
NPI 1427567858 (248) 898-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

DEREK BAIR MD
Pediatrics (Neonatal-Perinatal Medicine)
18101 OAKWOOD BLVD STE 124, DEPT OF NEONATOLOGY
DEARBORN, MI 48124
Wayne County (313) 593-7490
STACEY ELIZABETH TILBURY NNP
Nurse Practitioner (Neonatal)
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
FREDERICK LUEDER MD
Pediatrics (Neonatal-Perinatal Medicine)
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
SONDRA ROSE VELEZ CNM
Advanced Practice Midwife
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
DIMA AL TA'ANY MD
Pediatrics (Neonatal-Perinatal Medicine)
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
LAUREN V SALIBA NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
CLARITA HUGHES MD
Pediatrics (Neonatal-Perinatal Medicine)
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490
MRS. JOY JONES R,N., N.N.P
Nurse Practitioner
18101 OAKWOOD BLVD STE 124
DEARBORN, MI 48124
Wayne County (313) 593-7490

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 William Clark's NPI number?

The NPI number for William Clark is 1922096718. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is William Clark located?

William Clark practices at 18101 Oakwood Blvd Ste 124, Dearborn, MI 48124. The listed phone number is (313) 586-5011.

What is William Clark's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is William Clark enrolled in Medicare?

Yes. William Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for William Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Clark reassigns Medicare benefits to 4 organizations: Oakwood Ambulatory LLC (Dearborn, MI), Ascension St John Hospital (Southfield, MI), Ascension Providence Hospital (Southfield, MI) and Beaumont Medical Group Hospital -Based Services (Royal Oak, MI). 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 William Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list William 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 William Clark was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.