NPI Details
Kathleen Anne Clark, M.D. is an internal medicine in Amarillo, TX with 24 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. Kathleen Anne Clark, M.D. NPI is 1518103886. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
5701 TIME SQUARE BLVD STE 220
AMARILLO, TX
ZIP 79119-178
Phone: (806) 350-7311
Fax: (806) 350-7361
The NPI 1518103886 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.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Urinalysis, manual test (HCPCS:81002)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Ultrasound scan of abdominal aorta (HCPCS:76706)
- Test for balance and posture (HCPCS:92548)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
The enumeration date for this NPI number is 12/16/2008 and was last updated on 3/28/2018.
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 |
| 1 | 207R00000X | Internal Medicine | | 251181-1 | NEW YORK | No |
| 2 | 207V00000X | Obstetrics & Gynecology | | 42540 | TEXAS | No |
| 3 | 207R00000X | Internal Medicine | | 42540 | TEXAS | Yes |
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 |
| 1 | 8L20138 | OTHER | TEXAS | MEDICARE - OB/GYN |
| 2 | 199457601 | MEDICAID | TEXAS | |
| 3 | 199457602 | OTHER | TEXAS | MEDICAID - OB/GYN |
| 4 | 200232280 A | MEDICAID | OKLAHOMA | |
| 5 | 83982876 | MEDICAID | NEW MEXICO | |
| 6 | 8L8001 | OTHER | TEXAS | MEDICARE |
