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

Q: 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.

Q: What is Tameta Clark's specialty?

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

Q: 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 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.

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: August 16, 2026.

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

On this page

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

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

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