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DR. TAMETA ROSETTE CLARK MD
NPI 1952571143
Anesthesiology - Pain Medicine in Indianapolis, IN

Active since March 04, 2008PECOS Enrolled
220 VIRGINIA AVE, INDIANAPOLIS, IN 46204(224) 278-3000 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 16, 2024, Apr 11, 2024, Jun 18, 2021 (3 updates tracked since 2021).

About Dr. Tameta Rosette Clark Md NPPES

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

DR. TAMETA ROSETTE CLARK MD (NPI 1952571143) is an individual pain medicine provider in Indianapolis, Indiana, licensed in Maine (MD24504) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952571143
Entity TypeIndividualFemale
Primary Taxonomy207LP2900X
Provider Legal NameDR. TAMETA ROSETTE CLARKCredential: MD
Location Address220 VIRGINIA AVEIndianapolis, IN 46204-3709
Mailing Address6307 Gateway CirScarborough, ME 04074-5540 · (919) 225-7085
Phone(224) 278-3000
Sole ProprietorYes
Enumeration DateMarch 4, 2008
Last NPPES UpdateDecember 16, 20243 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1952571143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in ME · MD24504
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
220 VIRGINIA AVE, Indianapolis, IN 46204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tameta Rosette 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 Reassignment

Medicare enrollment records show Tameta Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Pain Management, LLC
451 mi
Interventional Pain Medicine
1150 PROFESSIONAL CT STE P
Hagerstown, MD 21740
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1215274477 (Maryland)
  • 63 clinicians in this Medicare group
NPI 1962463265 (301) 850-2768

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.

SRAVYA NIMMAGADDA PHARMD
Pharmacist
220 VIRGINIA AVE
INDIANAPOLIS, IN 46204
Marion County (833) 401-1577
AMY R COLLINS MD
Emergency Medicine
220 VIRGINIA AVE
INDIANAPOLIS, IN 46204
Marion County (800) 331-1476
SARANDA KEYES
Nurse Practitioner
220 VIRGINIA AVE
INDIANAPOLIS, IN 46204
Marion County (317) 238-3534
RAELYNN PROKOP MS, RDN, LD
Dietitian, Registered
220 VIRGINIA AVE
INDIANAPOLIS, IN 46204
Marion County (614) 433-8315
MS. WHITNEY MONIQUE HAWKINS LMSW
Social Worker
220 VIRGINIA AVE
INDIANAPOLIS, IN 46204
Marion County (800) 711-2225
ASPIRE CAREMORE HEALTH PARTNERS, PC
Internal Medicine
220 VIRGINIA AVE
INDIANAPOLIS, IN 46204
Marion County (317) 456-5055
KIMBERLY DELGADO RN
Registered Nurse (Case Management)
220 VIRGINIA AVE
INDIANAPOLIS, IN 46204
Marion County (833) 476-1522
JENNIE TAGGART LMSW
Social Worker (Clinical)
220 VIRGINIA AVE
INDIANAPOLIS, IN 46204
Marion County (347) 537-8743

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 Tameta Clark's NPI number?

The NPI number for Tameta Clark is 1952571143. It was assigned to this individual provider in the NPPES registry on March 4, 2008.

Where is Tameta Clark located?

Tameta Clark practices at 220 Virginia Ave, Indianapolis, IN 46204. The listed phone number is (224) 278-3000.

What is Tameta Clark's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Tameta Clark enrolled in Medicare?

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

Which organization bills Medicare for Tameta Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tameta Clark reassigns Medicare benefits to Center For Pain Management, LLC (Hagerstown, MD). 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 Tameta Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tameta Clark was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.