Individual provider Active NPI

Barry Paul Clark, MD

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1750330288
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD036371 Issued in DC
Practice address
1512 13TH St NW
Washington, DC 20005-3763
Phone
(202) 352-5205
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD036371 DC Primary

Addresses

Primary practice location

1512 13TH St NW
Washington, DC 20005-3763

Mailing address

1512 13TH St NW
Washington, DC 20005-3763
Phone (202) 352-5205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161005000819 DC Practitioner - Family Practice 1254629355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitman-Walker Clinic, Inc. 28 clinicians

Practice addresses (Care Compare)

1377 R St NW
FL 2
Washington, DC 20009-6293
Phone (202) 745-7000

1432 U St NW
Washington, DC 20009-3916
Phone (202) 797-3500

1701 14TH St NW
Elizabeth Taylor Medical Center
Washington, DC 20009-4308
Phone (202) 745-7000

1734 14TH St NW
Washington, DC 20009-4796
Phone (202) 939-7801

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman-Walker Clinic Inc. CurrentSince Aug 3, 2016 Accepting new patients
Whitman-Walker Clinic, Inc CurrentSince Aug 3, 2016 Accepting new patients
Albemarle Family Practice PLLC Family Medicine Past Accepting new patients

Locations

1701 14th St NW
Washington, DC 20009
Phone (202) 745-7000

1734 14th St NW
Washington, DC 20009
Phone (202) 939-7801

1377 R St NW
Fl 2
Washington, DC 20009
Phone (202) 745-7000

1377 R St NW
Ste 200
Washington, DC 20009
Phone (202) 745-7000

1377 R St NW
Washington, DC 20009
Phone (202) 745-7000

1201 Sycamore Dr SE
Washington, DC 20032
Phone (202) 745-7000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1750330288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053763",
            "telephone_number": "202-352-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053763",
            "telephone_number": "202-352-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BARRY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD036371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.