Marc F Clemente, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

112704 Issued in MO

Practice address

510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016

Phone

(314) 362-7200

Fax

(314) 747-4189

NPI assigned

Apr 7, 2006

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, PA, TN3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

Saint Louis University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Radiology Management Solutions LLCGroup PAC ID 3577780337, 26 clinicians

Miracl LLCGroup PAC ID 4587908041, 96 clinicians

Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians

Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

Savannah Chatham Imaging LLCGroup PAC ID 6800890245, 32 clinicians

Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians

Dynamic Radiology Tennessee PCGroup PAC ID 6204207798, 5 clinicians

Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

USA Radiology of Pennsylvania LLCGroup PAC ID 0345594388, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180
• Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017
• Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
• St Francis Hospital Hospital, Memphis, TN, CCN 440183
• Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Miracl, LLC

  • Multi-Specialty Clinic/Center
  • Rolla, MO
  • NPI 1205304300
  Medicare reassignment Care Compare group NPD
• Missouri Delta Medical Center

  • Internal Medicine Physician
  • Sikeston, MO
  • NPI 1508967860
  Medicare reassignment Care Compare group NPD
• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1962442475

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Memphis Physicians Radiological Group PC

  • Diagnostic Radiology Physician
  • Memphis, TN
  • NPI 1134231574

  MO

  Medicare reassignment Care Compare group NPD
• Savannah Chatham Imaging LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1992721278

  MO

  Medicare reassignment Care Compare group NPD
• USA Radiology of Pennsylvania, LLC

  • Body Imaging Physician
  • Meadville, PA
  • NPI 1164907655

  MO

  Medicare reassignment Care Compare group NPD
• Vanderbilt University Medical Center

  dba Vanderbilt Medical Group

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761

  Diagnostic Radiology, MO

  Medicare reassignment Care Compare group NPD
• USA Radiology Management Solutions LLC

  • Diagnostic Radiology Physician
  • Rolla, MO
  • NPI 1689091076
  Medicare reassignment Care Compare group
• Dynamic Radiology Tennessee, PC

  • Diagnostic Radiology Physician
  • Clarksville, TN
  • NPI 1588387096
  Medicare reassignment Care Compare group
• BJC Outpatient Imaging LLC

  dba BJC Outpatient Imaging at Clarkson

  • Radiology Clinic/Center
  • Chesterfield, MO
  • NPI 1710781414

  Diagnostic Radiology

  Medicare reassignment NPD
• Pemiscot County Memorial Hospital

  • Emergency Care Clinic/Center
  • Hayti, MO
  • NPI 1578668661
  Medicare reassignment NPD
• Surgical Institute of Reading LLC

  • Diagnostic Radiology Physician
  • Wyomissing, PA
  • NPI 1144781451
  Medicare reassignment NPD

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

• Christian Hospital Northeast- Northwest

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1639186760
  Care Compare affiliation
• Christian Hospital Northeast-Northwest

  dba Christian Hospital

  • Ambulance
  • Saint Louis, MO
  • NPI 1073769329

  Hospital

  Care Compare affiliation
• Missouri Delta Medical Center

  • General Acute Care Hospital
  • Sikeston, MO
  • NPI 1831269539
  Care Compare affiliation
• Phelps County Regional Medical Center

  dba Phelps Health Medical Group

  • Rural Health Clinic/Center
  • Salem, MO
  • NPI 1194077701

  Hospital

  Care Compare affiliation
• Phelps County Regional Medical Center

  dba Phelps Health

  • Rehabilitation Hospital Unit
  • Rolla, MO
  • NPI 1346287455
  Care Compare affiliation
• Phelps County Regional Medical Center

  dba Phelps Health

  • General Acute Care Hospital
  • Rolla, MO
  • NPI 1891766051
  Care Compare affiliation
• Amisub (SFH), Inc.

  dba St. Francis Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1952326977
  Care Compare affiliation
• Saint Francis Hospital - Bartlett, Inc.

  dba St. Francis Hospital-Bartlett

  • General Acute Care Hospital
  • Bartlett, TN
  • NPI 1811929151
  Care Compare affiliation

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1073576484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-7200",
            "fax_number": "314-747-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S KINGSHIGHWAY BLVD",
            "address_2": "DEPT RADIOLOGY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101016",
            "telephone_number": "314-362-7200",
            "fax_number": "314-747-4189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Bella Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Frontenac",
            "state": "MO",
            "postal_code": "631312629",
            "country_code": "US",
            "telephone_number": "314-827-5723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTE",
        "first_name": "MARC",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "35422",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "112704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205807407",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q050825",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "510 S Kingshighway Blvd",
            "address_2": "Dept Radiology",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kylie Amber Cleavenger
• Lisa Marie Clemence, P.T.
• Regina Alice Clemens, MD PHD
• Amdiel Clement, MD
• Benjamin Daniel Clement, MD
• Sarah Marie Clements, PNP
• Ericka Clemmons, LPC
• James Antquinette Clemmons II, MD
• Samantha M Clemo, PSYD
• Jeannine M Clemons, DC

• Diagnostic Radiology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.

Verify at the official NPI Registry.