DR. CAROLYN CLARK M.D. NPI 1033156617

NPI Information

  • NPI: 1033156617
  • Provider Name: DR. CAROLYN CLARK, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4461 STARKEY ROAD
    SUITE 201
    ROANOKE, VA
    ZIP 24018
  • Phone: (540) 345-4946

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NPI Details

DR. Carolyn Clark, M.D. is an internal medicine in Roanoke, VA with 38 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Carolyn Clark, M.D. NPI is 1033156617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

4461 STARKEY ROAD
SUITE 201
ROANOKE, VA
ZIP 24018
Phone: (540) 345-4946
Fax: (540) 343-7693

The NPI 1033156617 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Vitamin d-3 level (HCPCS:82306)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected (HCPCS:0241U)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Magnesium level (HCPCS:83735)
  • Kidney function blood test panel (HCPCS:80069)
  • Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Iron level (HCPCS:83540)
  • Iron binding capacity (HCPCS:83550)
  • Removal of impacted ear wax by washing (HCPCS:69209)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Automated urinalysis test (HCPCS:81003)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)

The enumeration date for this NPI number is 6/1/2006 and was last updated on 4/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine0101057337VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1393746OTHERVIRGINIAANTHEM
25427630OTHERVIRGINIAAETNA
31033156617MEDICAIDVIRGINIA
4110165956OTHERVIRGINIARAILROAD MEDICARE
5294398OTHERVIRGINIASOUTHERN HEALTH
6110007042MEDICARE ID-TYPE UNSPECIFIED
77236246OTHERVIRGINIACIGNA
8F23559MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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