MATTHEW GILL CLARK M.D.
NPI 1154618106
Pediatrics - Pediatric Critical Care Medicine in Birmingham, AL

Active since June 28, 2011PECOS EnrolledAccepts Medicare Assignment
1600 7TH AVE S, BIRMINGHAM, AL 35233(205) 638-9100 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2020, Sep 18, 2020, Jul 1, 2019 (3 updates tracked since 2019).

About Matthew Gill Clark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW GILL CLARK M.D. (NPI 1154618106) is an individual pediatric critical care medicine provider in Birmingham, Alabama, licensed in Alabama (MD.37170) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of University Of Missouri, Columbia School Of Medicine (2011).

NPPES Registry Identity

NPI1154618106
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameMATTHEW GILL CLARKCredential: M.D.
Location Address1600 7TH AVE SBirmingham, AL 35233
Mailing Address1600 7th Ave S Bldg 604Birmingham, AL 35233-1711 · (205) 638-5461
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2011
Enumeration DateJune 28, 2011
Last NPPES UpdateOctober 7, 20203 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
NPI 1154618106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in AL · MD.37170
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD.37170 (AL)
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License MD.37170 (AL)
1600 7TH AVE S, Birmingham, AL 35233

Other Names 1

Other Name (5)Matt G Clark

Secondary Practice Location 1

Location 11700 6th Ave S Ste 9100Birmingham, AL 35233-1802 · Phone (205) 934-3460

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Gill Clark M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305070525
PECOS Enrollment IDI20190812000161
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Pediatrics (Pediatric Critical Care Medicine)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner
1600 7TH AVE S
BIRMINGHAM, AL 35233
Hospitalist
1600 7TH AVE S
BIRMINGHAM, AL 35233
Rehabilitation Unit
1600 7TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, LOWDER BLDG., SUITE 618
BIRMINGHAM, AL 35233
Pediatrics
1600 7TH AVE S, MCWANE BUILDING SUITE 108
BIRMINGHAM, AL 35233
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, CHILDRENS OF ALABAMA
BIRMINGHAM, AL 35233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Clark's NPI number?

The NPI number for Matthew Clark is 1154618106. It was assigned to this individual provider in the NPPES registry on June 28, 2011. The provider is also known as Matt G Clark.

Where is Matthew Clark located?

Matthew Clark practices at 1600 7th Ave S, Birmingham, AL 35233. The listed phone number is (205) 638-9100.

What is Matthew Clark's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Matthew Clark enrolled in Medicare?

Yes. Matthew Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Clark accept?

Health plans from Blue Cross and Blue Shield of Alabama list Matthew Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Clark was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.