Active NPI
Clark Dorman, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- A196380
- Practice address
- 6400 Fannin St Ste 1700
Houston, TX 77030-1526 - Phone
- (713) 486-7500
- NPI assigned
- Apr 25, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | A196380 | CA | Primary |
Addresses
Primary practice location
6400 Fannin St Ste 1700
Houston, TX 77030-1526
Mailing address
6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 486-7500
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
- Orthopedic Surgery
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18411 W Lake Houston Pkwy
550 Orthopedics Atascocita
Humble, TX 77346-3594
Phone (713) 486-7400
18951 N Memorial Dr
Humble, TX 77338-4217
Phone (281) 540-7700
23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-7000
300 Kingwood Medical Dr
Kingwood, TX 77339-6400
Phone (281) 312-4000
6410 Fannin St
Houston, TX 77030-3005
8008 Ashlane Way
Spring, TX 77382-2106
Phone (281) 914-4679
9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2300
Hospital & facility affiliations
- Memorial Hermann Northeast Hospital
- Memorial Hermann Surgical Hospital Kingwood
- Memorial Hermann Hospital System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 14 |
| Knee replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients |
Locations
6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527
6410 Fannin St
#135
Houston, TX 77030
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
Interoperability endpoints
- clark.dorman.p1@direct.newportortho.nextgenshare.com
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Rehabilitation Clinic/Center
- Spring, TX
- NPI 1932967825
-
- Health Educator
- Houston, TX
- NPI 1316534472
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1366532228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1780248625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 1700",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301526",
"telephone_number": "713-486-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 1700",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301526",
"telephone_number": "713-486-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMAN",
"first_name": "CLARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-25",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CA",
"license": "A196380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.