Active NPI
Joshua Michael Clark, MD
- Pulmonary Disease Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35.152761
- Practice address
- 200 Albert Sabin Way
Cincinnati, OH 45267-4221 - Phone
- (513) 475-8523
- Fax
- (513) 475-7327
- NPI assigned
- Apr 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2022-02819 | NC | |
| Pulmonary Disease Physician | 207RP1001X | 35.152761 | OH | Primary |
Addresses
Primary practice location
200 Albert Sabin Way
Cincinnati, OH 45267-4221
Mailing address
PO Box 636256
Cincinnati, OH 45263-6256
Phone (135) 856-2005
Other practice location 1
170 Manning Dr
Chapel Hill, NC 27514-4221
Phone (919) 966-6440
Other practice location 2
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Toledo College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-02819 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Single Specialty | Current | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Single Specialty | Current | Accepting new patients |
Locations
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
200 Albert Sabin Way
Cincinnati, OH 45267
Phone (513) 475-7500
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505
7675 Wellness Way
West Chester, OH 45069
Phone (513) 475-7400
Interoperability endpoints
- jclark541036@direct.unc.nchie.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Single Specialty
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
dba Clermont Hospital
- General Acute Care Hospital
- Batavia, OH
- NPI 1568562551
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
-
dba Alliance Medical Transport Service
- Ambulance
- Cincinnati, OH
- NPI 1689618423
Hospital
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1235792342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "135-856-2005",
"fax_number": "513-245-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ALBERT SABIN WAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452674221",
"telephone_number": "513-475-8523",
"fax_number": "513-475-7327"
}
],
"practiceLocations": [
{
"address_1": "170 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144221",
"country_code": "US",
"telephone_number": "919-966-6440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 New Bern Ave",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101231",
"country_code": "US",
"telephone_number": "919-350-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "JOSHUA",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-16",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "2022-02819",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35.152761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.