MICHAEL NEILL CLEMENSHAW M.D. NPI 1053531368

NPI Information

  • NPI: 1053531368
  • Provider Name: MICHAEL NEILL CLEMENSHAW, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3551 ROGER BROOKE DR
    FORT SAM HOUSTON, TX
    ZIP 78234
  • Phone: (210) 916-4188

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NPI Details

Michael Neill Clemenshaw, M.D. is a diagnostic radiology radiology in Fort Sam Houston, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael Neill Clemenshaw, M.D. NPI is 1053531368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234-504
Phone: (210) 916-4188

The NPI 1053531368 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Nuclear medicine study of parathyroid with spect and ct scan (HCPCS:78072)
  • Nuclear medicine study, 1 area with spect (HCPCS:78803)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

The enumeration date for this NPI number is 4/27/2007 and was last updated on 10/3/2023.

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
1207UN0902XNuclear MedicineNuclear Imaging & TherapyP2216TEXASNo
22085R0202XRadiologyDiagnostic RadiologyP2216TEXASYes

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
183825OTHERGEORGIAGEORGIA MEDICAL LICENSE
2003226229AMEDICAIDGEORGIA

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: 11/21/2025

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