Individual provider Active NPI

Zachary Eugene Clark, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1023429495
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35318 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35249
Phone
(205) 934-4011
NPI assigned
May 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35318 AL
Diagnostic Radiology Physician 2085R0202X 35318 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701

Other practice location 1

840 Montclair Rd
Suite 317
Birmingham, AL 35213-1920
Phone (205) 599-4822

Other practice location 2

1701 1st Ave S
Birmingham, AL 35233-4001
Phone (256) 503-2444

Other practice location 3

1701 1st Ave S
Birmingham, AL 35233-4001
Phone (256) 503-2444

Other practice location 4

619 19th St S
Birmingham, AL 35249-1900
Phone (256) 503-2444

Other identifiers 2

IdentifierTypeStateIssuer
35318OtherALSTATE MEDICAL LICENSE
35318OtherALALABAMA CONTROLLED SUBSTANCE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zclark@direct.uabmedicine.org Direct University of Alabama Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190619001816 AL Practitioner - Diagnostic Radiology 2961736335 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Radiology Associates PAGroup PAC ID 2961301999, 39 clinicians
Alabama Imaging PCGroup PAC ID 2365341328, 32 clinicians
Selma Radiology Associates P CGroup PAC ID 3870497720, 28 clinicians

Practice addresses (Care Compare)

101 Crestview Ave
Evergreen, AL 36401-3333
Phone (251) 578-2480

105 US Hwy 80 E
Demopolis, AL 36732-3605
Phone (800) 889-8610

124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0651

126 Hospital Ave
Ozark, AL 36360-2018
Phone (334) 774-2601

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (800) 889-8610

1330 Hwy 231 S
Troy, AL 36081-3058
Phone (334) 670-5000

201 Mariarden Rd
Dadeville, AL 36853-6244
Phone (256) 825-3242

2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone (800) 889-8610

2055 Normandie Dr
Montgomery, AL 36111-2732
Phone (334) 288-2100

208 Pierson Ave
Centreville, AL 35042-2918
Phone (205) 926-3246

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

220 Hospital Dr
Jackson, AL 36545-2459
Phone (251) 246-9021

2551 Eastern Valley Rd
Leeds, AL 35094-3729
Phone (800) 889-8610

29 L V Stabler Dr
Greenville, AL 36037-3850
Phone (334) 382-2671

295 S Jackson St
Grove Hill, AL 36451-3231
Phone (251) 275-3191

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

401 Medical Park Dr
Atmore, AL 36502-3006
Phone (251) 368-2500

720 Linwood Rd
Birmingham, AL 35222-4431
Phone (334) 269-6337

Hospital & facility affiliations

  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Vaughan Regional Medical Center Parkway Campus Hospital, Selma, AL, CCN 010118
  • Troy Regional Medical Center Hospital, Troy, AL, CCN 010126

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.77 of 100Reported as group
Quality
86.95
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35318ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Imaging PC CurrentSince May 1, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2019 Accepting new patients
Selma Radiology Associates P C CurrentSince May 1, 2024 Accepting new patients
West County Radiological Group, Inc. Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Baptist Health System, Inc. Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

960 Mount Olive Rd
Gardendale, AL 35071
Phone (205) 263-0952

2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200

Interoperability endpoints

  • Direct secure messaging: zclark@direct.uabmedicine.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1023429495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35249",
            "telephone_number": "205-934-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Montclair Rd",
            "address_2": "Suite 317",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352131920",
            "country_code": "US",
            "telephone_number": "205-599-4822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352334001",
            "country_code": "US",
            "telephone_number": "256-503-2444",
            "fax_number": "256-781-0357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352334001",
            "country_code": "US",
            "telephone_number": "256-503-2444",
            "fax_number": "256-781-0357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352491900",
            "country_code": "US",
            "telephone_number": "256-503-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ZACHARY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "35318",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "35318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "35318",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA CONTROLLED SUBSTANCE LICENSE",
            "identifier": "35318",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zclark@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "619 19th St S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352491900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.