Active NPI
Matthew Timothy Clark, M.D.
- Gastroenterology Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R2309
- Practice address
- 129 Vision Park Blvd Ste 307
Shenandoah, TX 77384-3024 - Phone
- (936) 321-5440
- Fax
- (369) 271-3705
- NPI assigned
- May 4, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | R2309 | TX | Primary |
Addresses
Primary practice location
129 Vision Park Blvd Ste 307
Shenandoah, TX 77384-3024
Mailing address
129 Vision Park Blvd Ste 307
Shenandoah, TX 77384-3024
Phone (936) 321-5440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Gastroenterology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
129 Vision Park Blvd
Suite 307
Shenandoah, TX 77384-3024
Phone 9363215440135
Hospital & facility affiliations
- St Luke'S the Woodlands Hospital
- Houston Methodist the Woodlands Hospital
- Memorial Hermann Hospital System
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 222 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 299 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2309 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier General and Colorectal Surgery, PA | Current | Accepting new patients | |
| Gastroenterology Partners of North Houston PLLC | Gastroenterology | Current | Accepting new patients |
| Carolina Digestive Health Associates, PA | Past | Accepting new patients |
Locations
837 FM 1960 Rd W
Ste 105
Houston, TX 77090
Phone (281) 453-7158
119 Medical Park Ln
Ste C
Huntsville, TX 77340
Phone (936) 271-3400
129 Vision Park Blvd
Ste 212
Shenandoah, TX 77384
Phone (713) 955-2889
129 Vision Park Blvd
Ste 307
Shenandoah, TX 77384
Phone (936) 321-5440
17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Shenandoah, TX
- NPI 1508324013
-
- Specialist
- Shenandoah, TX
- NPI 1760738207
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1063584415
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1497072227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 VISION PARK BLVD STE 307",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843024",
"telephone_number": "936-321-5440",
"fax_number": "866-538-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 VISION PARK BLVD STE 307",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843024",
"telephone_number": "936-321-5440",
"fax_number": "369-271-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "MATTHEW",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-04",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "R2309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.