Individual provider Active NPI

Jennifer Anne Clark, MD

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1619468808
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD210011897 Issued in DC
Practice address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone
(585) 489-6449
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD210011897 DC Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Mailing address

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (585) 489-6449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, PA3 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

Enrollment IDStateProvider typePAC IDDetails
I20241203002783 DC Practitioner - Diagnostic Radiology 3072868645 Reassigns benefits to 4 organizations
I20241205002106 MD Practitioner - Diagnostic Radiology 3072868645 Reassigns benefits to 3 organizations
I20251121000807 PA Practitioner - Diagnostic Radiology 3072868645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Chambersburg Imaging Associates P.C.Group PAC ID 6406832211, 13 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

12158 Central Ave
Suite 100
Mitchellville, MD 20721-1932
Phone (301) 430-2750

144 S 8TH St
Suite 108
Chambersburg, PA 17201-2752
Phone (717) 263-1383

2118 Greenspring Dr
Suite 100
Timonium, MD 21093-3112
Phone (443) 470-1070

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

738 N Albemarie St
Arlington, VA 22203
Phone (219) 767-6320

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chambersburg Imaging Associates P.C. CurrentSince Oct 20, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Dec 19, 2024 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Apr 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2024 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Apr 1, 2025 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2024 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 4, 2024 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3007 Tilden St NW
Ste 5N
Washington, DC 20008

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033

3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2411 Laporte Ave
Valparaiso, IN 46383
Phone (219) 476-7226

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

13950 Brandywine Rd
Brandywine, MD 20613
Phone (301) 782-2220

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750

2118 Greenspring Dr
Ste 100
Timonium, MD 21093
Phone (443) 470-1070

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

144 S 8th St
Ste 108
Chambersburg, PA 17201
Phone (717) 262-2183

Interoperability endpoints

  • Direct secure messaging: jennifer.clarkmd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 11

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 11

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1619468808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "585-489-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "585-489-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD210011897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.