Active NPI
Zachary Eugene Clark, M.D.
- Diagnostic Radiology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35318
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35318 | Other | AL | STATE MEDICAL LICENSE |
| 35318 | Other | AL | ALABAMA CONTROLLED SUBSTANCE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PAAlabama Imaging PCSelma Radiology Associates P C
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
- Baptist Medical Center East
- Prattville Baptist Hospital
- Vaughan Regional Medical Center Parkway Campus
- Troy Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.77 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35318 | AL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Imaging PC | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Selma Radiology Associates P C | Current | Accepting new patients | |
| West County Radiological Group, Inc. | Diagnostic Radiology | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
AL
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477500585
AL, Diagnostic Radiology
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1598711616
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
Hospital
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
Hospital
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.