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DR. MICHAEL B CLARK M.D. NPI 1538115423


NPI Information

NPI: 1538115423
Provider Name: DR. MICHAEL B CLARK, M.D.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

PECOS Registration: Yes

Address:
2002 MEDICAL PKWY
STE 235
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 266-2770
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DR. Michael B Clark, M.D. is a neuroradiology radiology in Annapolis, MD with 29 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Michael B Clark, M.D. NPI is 1538115423. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:1995

The provider's business location address is:

2002 MEDICAL PKWY
STE 235
ANNAPOLIS, MD
ZIP 21401-046
Phone: (410) 266-2770
Fax: (410) 841-6251

The NPI 1538115423 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)
  • Ct scan head or brain (HCPCS:70450)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan chest (HCPCS:71250)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Ct scan of face (HCPCS:70486)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • X-ray of knee, 3 views (HCPCS:73562)

The enumeration date for this NPI number is 5/25/2006 and was last updated on 2/27/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyD0056183MARYLANDNo
22085R0202XRadiologyDiagnostic Radiology35.080358OHIONo
32085R0202XRadiologyDiagnostic RadiologyMD416976PENNSYLVANIANo
42085R0202XRadiologyDiagnostic Radiology200000198NORTH CAROLINANo
52085R0202XRadiologyDiagnostic Radiology28302SOUTH CAROLINANo
62085R0202XRadiologyDiagnostic RadiologyME94700FLORIDANo
72085N0700XRadiologyNeuroradiologyD0056183MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1019419A80OTHERMARYLANDAAD PG COUNTY
2P00306810MEDICARE PINMARYLAND
3H21304MEDICARE UPINMARYLAND
4S629N170MEDICARE ID-TYPE UNSPECIFIEDMARYLAND
5P00307060MEDICARE PINMARYLAND
62622593OTHERMARYLANDAETNA HMO/POS
710690029OTHERMARYLANDBCBS
8017000300MEDICAIDMARYLAND
9N899OTHERMARYLANDAAD AA COUNTY
108317071OTHERMARYLANDAETNA PPO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.