Individual provider Active NPI

Christopher Michael Clark, M.D.

  • Otolaryngology Physician
  • Birmingham, AL
National Provider Identifier
1912341892
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD.37651 Issued in AL
Practice address
48 Medical Park Dr E Ste 153
Birmingham, AL 35235-3459
Phone
(205) 402-8133
Fax
(205) 833-5156
NPI assigned
Apr 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X MD.37651 AL Primary

Addresses

Primary practice location

48 Medical Park Dr E Ste 153
Birmingham, AL 35235-3459

Mailing address

833 Saint Vincents Dr Ste 402
Birmingham, AL 35205-1613
Phone (205) 933-9236

Other practice location 1

833 Saint Vincents Dr Ste 402
Birmingham, AL 35205-1613
Phone (205) 933-9236

Other practice location 2

4501 Southlake Pkwy Ste 200
Hoover, AL 35244-3645
Phone (205) 985-7393

Other identifiers 1

IdentifierTypeStateIssuer
232140MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190603002165 AL Practitioner - Otolaryngology 5991051781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Associates of Alabama PCGroup PAC ID 8921025354, 43 clinicians

Practice addresses (Care Compare)

833 Saint Vincents Dr
Suite 402
Birmingham, AL 35205-1613
Phone (205) 212-3540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as group
Quality
90.13
Promoting interoperability
100
Improvement activities
40
Cost
77.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Associates of Alabama, P.C. Otolaryngology CurrentSince Jul 1, 2019 Accepting new patients
Robert J Sciacca MD PC Otolaryngology PastSince Feb 16, 2015 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 530
Birmingham, AL 35243
Phone (205) 591-8260

48 Medical Park Dr E
Ste 153
Birmingham, AL 35235
Phone (205) 402-8133

833 Saint Vincents Dr
Ste 402
Birmingham, AL 35205
Phone (205) 212-3540

4501 Southlake Pkwy
Ste 200
Hoover, AL 35244
Phone (205) 985-7393

Organizations & group practices 2

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 2

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1912341892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 402",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051613",
            "telephone_number": "205-933-9236",
            "fax_number": "205-933-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 153",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353459",
            "telephone_number": "205-402-8133",
            "fax_number": "205-833-5156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Saint Vincents Dr Ste 402",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051613",
            "country_code": "US",
            "telephone_number": "205-933-9236",
            "fax_number": "205-933-9213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4501 Southlake Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352443645",
            "country_code": "US",
            "telephone_number": "205-985-7393",
            "fax_number": "205-987-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "MD.37651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232140",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.