Provider Type Icon

MICHAEL STEVEN CLARK M.D. NPI 1659784031


NPI Information

NPI: 1659784031
Provider Name: MICHAEL STEVEN CLARK, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN
ZIP 55426
Phone: (952) 993-5000
Get Directions

Michael Steven Clark, M.D. is a diagnostic radiology radiology in St Louis Park, MN with 10 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael Steven Clark, M.D. NPI is 1659784031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2014

The provider's business location address is:

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN
ZIP 55426-702
Phone: (952) 993-5000

The NPI 1659784031 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)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan chest (HCPCS:71250)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 6/3/2014 and was last updated on 6/18/2020.


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
12085N0904XRadiologyNuclear Radiology59352MINNESOTANo
22085R0202XRadiologyDiagnostic Radiology59352MINNESOTAYes

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.