Individual provider Active NPI

Clark Tarek Kholeif, M.D.

  • Diagnostic Radiology Physician
  • The Woodlands, TX
National Provider Identifier
1831484112
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R4415 Issued in TX
Practice address
46 Columbia Crest PL
The Woodlands, TX 77382-1334
Phone
(832) 465-5298
NPI assigned
Jun 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2025-04199 NC
Diagnostic Radiology Physician 2085R0202X R4415 TX Primary

Addresses

Primary practice location

46 Columbia Crest PL
The Woodlands, TX 77382-1334

Mailing address

1356 Lusitana St
7TH Floor
Honolulu, HI 96813-2409

Other practice location 1

1356 Lusitana St
7th floor
Honolulu, HI 96813-2409
Phone (808) 586-7477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, TX, GA, WI, PA, NC, FL8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20160720000808 CA Practitioner - Diagnostic Radiology 7315230943 Reassigns benefits to 5 organizations
I20170908002689 HI Practitioner - Diagnostic Radiology 7315230943 Reassigns benefits to 3 organizations
I20190205000674 TX Practitioner - Diagnostic Radiology 7315230943 Reassigns benefits to 8 organizations
I20241113000325 GA Practitioner - Diagnostic Radiology 7315230943 Reassigns benefits to 1 organization
I20250730002308 WI Practitioner - Diagnostic Radiology 7315230943 Reassigns benefits to 1 organization
I20250919002233 PA Practitioner - Diagnostic Radiology 7315230943 Reassigns benefits to 1 organization
I20260403001773 NC Practitioner - Diagnostic Radiology 7315230943 Reassigns benefits to 1 organization
I20260430003175 FL Practitioner - Diagnostic Radiology 7315230943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Southeastern Regional Medical CenterGroup PAC ID 7315857141, 54 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians

Practice addresses (Care Compare)

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436

2700 Healing Way
Wesley Chapel, FL 33543-5453

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 735-8576

3719 Coggeshall LN
San Antonio, TX 78257-5079
Phone (817) 914-3478

Hospital & facility affiliations

  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-04199NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Jul 21, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 31, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 31, 2017 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 8, 2016 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Oct 2, 2024 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Aug 6, 2020 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Aug 28, 2017 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 5, 2026 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince Dec 25, 2023 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Jun 8, 2016 Accepting new patients
Heritage Valley Radiology, Inc. Diagnostic Radiology CurrentSince Jul 7, 2025 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Apr 13, 2019 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Apr 13, 2019 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 29, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients
St. Barnabas Hospital Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
El Camino Hospital Past Accepting new patients
Wisconsin Radiology Specialists, S C Past Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 27)

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

2709 Meredyth Dr
Ste 260
Albany, GA 31707
Phone (229) 312-1638

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2709 Meredyth Dr
Ste 100
Albany, GA 31707
Phone (229) 312-0200

427 W 3rd Ave
Ste 400
Albany, GA 31701
Phone (229) 312-4012

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851

1357 Kapiolani Blvd
Ste 830
Honolulu, HI 96814

1160 Pittsford Victor Rd
Ste D2
Pittsford, NY 14534
Phone (585) 218-8007

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

Interoperability endpoints

  • Direct secure messaging: ckholeif36513@icare.elcaminohospital.org

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 5

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1831484112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 LUSITANA ST",
            "address_2": "7TH FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 COLUMBIA CREST PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821334",
            "telephone_number": "832-465-5298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1356 Lusitana St",
            "address_2": "7th floor",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132409",
            "country_code": "US",
            "telephone_number": "808-586-7477",
            "fax_number": "808-586-7486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOLEIF",
        "first_name": "CLARK",
        "middle_name": "TAREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2025-04199",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R4415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.