DR. JILL ELISABETH CLARK M.D. NPI 1295922052

NPI Details

DR. Jill Elisabeth Clark, M.D. is a colon rectal surgery in Albuquerque, NM with 23 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Jill Elisabeth Clark, M.D. NPI is 1295922052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

715 DR MARTIN LUTHER KING JR AVE NE STE 301
ALBUQUERQUE, NM
ZIP 87102-668
Phone: (505) 727-7090

The NPI 1295922052 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.

• New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
• Diagnostic exam of anus using an endoscope (HCPCS:46600)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)

The enumeration date for this NPI number is 9/26/2007 and was last updated on 6/27/2025.

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:

Other Identifiers

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