Active NPI
Jennifer Anne Clark, MD
- Diagnostic Radiology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD210011897
- 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
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 |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chambersburg Imaging Associates P.C. | Current | Accepting new patients | |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Physician Imaging of Washington Hospital Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Physician Imaging of Washington Hospital Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Physician Imaging of Washington Hospital Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | 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
- 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.
-
- Specialist
- Chambersburg, PA
- NPI 1225093446
-
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
DC
-
- Radiology Clinic/Center
- Chevy Chase, MD
- NPI 1831385871
DC, Diagnostic Radiology
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Anatomic Pathology Physician
- Washington, DC
- NPI 1578297503
-
- Internal Medicine Physician
- Oxon Hill, MD
- NPI 1235936279
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
- Radiology Clinic/Center
- Rockville, MD
- NPI 1326648346
Diagnostic Radiology
-
- Radiology Clinic/Center
- Bel Air, MD
- NPI 1700246022
Diagnostic Radiology
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- General Acute Care Hospital
- Waynesboro, PA
- NPI 1821091059
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.