JEFF ALBERTO CLARK MD
NPI 1932147006
Pediatrics - Pediatric Critical Care Medicine in Grand Rapids, MI
About Jeff Alberto Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFF ALBERTO CLARK MD (NPI 1932147006) is an individual pediatric critical care medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301068097) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Jeff Alberto 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 Reassignment
Medicare enrollment records show Jeff Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 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.
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.
GRAND RAPIDS, MI 49503
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 Jeff Clark's NPI number?
The NPI number for Jeff Clark is 1932147006. It was assigned to this individual provider in the NPPES registry on June 2, 2006.
Where is Jeff Clark located?
Jeff Clark practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-1526.
What is Jeff Clark's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Jeff Clark enrolled in Medicare?
Yes. Jeff 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 organization bills Medicare for Jeff Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeff Clark reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The 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 Jeff Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeff Clark accept?
Health plans from Priority Health list Jeff 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 Jeff Clark was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Jeff Alberto Clark, MD · NPI 1932147006
Pediatric Critical Care Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 2, 2006.
## Identity
- **NPI:** 1932147006 (Entity type: Individual)
- **Enumerated:** June 2, 2006
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 4301068097 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE, Grand Rapids, MI 49503-2560
- **Phone:** (616) 267-1526
## 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:** Spectrum Health Primary Care Partners (NPI 1689499667, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** January 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1932147006) · Data from the CMS NPPES public registry.