DR. RICHARD TRAVIS CLARK M.D. NPI 1568432557

NPI Information

  • NPI: 1568432557
  • Provider Name: DR. RICHARD TRAVIS CLARK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2211 LOMAS BLVD NE
    ALBUQUERQUE, NM
    ZIP 87106
  • Phone: (505) 272-1476

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NPI Details

DR. Richard Travis Clark, M.D. is a diagnostic radiology radiology in Albuquerque, NM with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Richard Travis Clark, M.D. NPI is 1568432557. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

2211 LOMAS BLVD NE
ALBUQUERQUE, NM
ZIP 87106-719
Phone: (505) 272-1476

The NPI 1568432557 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)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)

The enumeration date for this NPI number is 1/24/2006 and was last updated on 1/30/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD60212011WASHINGTONNo
22085R0202XRadiologyDiagnostic RadiologyMD2018-0142NEW MEXICOYes

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
12017034MEDICAIDWASHINGTON
20365599OTHERWASHINGTONL&I SWEDISH RADIA EDMONDS
31568432557MEDICAIDWASHINGTON
40293210OTHERWASHINGTONL&I
50365598OTHERWASHINGTONL&I RADIA-KING COUNTY
60365600OTHERWASHINGTONL&I EVERGREEN RADIA
7158600OTHERWASHINGTONPTAN
80365595OTHERWASHINGTONL&I RADIA-REST OF WA

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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