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KATHARINE TYLER CLARK MD
NPI 1174093629
Emergency Medicine in Bethesda, MD

Active since November 27, 2018PECOS Enrolled
8901 WISCONSIN AVE, BETHESDA, MD 20889(301) 295-4000 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2021, Jul 9, 2021, Nov 27, 2018 (3 updates tracked since 2018).

About Katharine Tyler Clark Md NPPES

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

KATHARINE TYLER CLARK MD (NPI 1174093629) is an individual emergency medicine provider in Bethesda, Maryland, licensed in Massachusetts (288942) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare White Oak Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (2021).

NPPES Registry Identity

NPI1174093629
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKATHARINE TYLER CLARKCredential: MD
Location Address8901 WISCONSIN AVEBethesda, MD 20889-2696
Mailing Address8901 Wisconsin AveBethesda, MD 20889-0006 · (301) 295-4000
Phone(301) 295-4000
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2021
Enumeration DateNovember 27, 2018
Last NPPES UpdateAugust 20, 20253 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1174093629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 288942
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
8901 WISCONSIN AVE, Bethesda, MD 20889
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katharine Tyler Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628486768
PECOS Enrollment IDI20251024002578
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventist Healthcare White Oak Medical Center

Acute Care Hospitals · Silver Spring, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210016
Location11890 Healing WaySilver Spring, MD 20904 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20889 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. TAMMERA NELSON
Pharmacist
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-4497
DAWOOD TAFTI M.D.
Radiology (Diagnostic Radiology)
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 319-8373
DR. ASHLEY BEE BOZZAY
Student in an Organized Health Care Education/Training Program
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-8588
DR. ADAM JOSEPH MAIER DO
Internal Medicine (Infectious Disease)
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-4000
OANA MARIA POVIAN STROIE MD
General Practice
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-4000
SIMAL RUHISHTA ALI DO
General Practice
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-4900
DR. JACOB L FRIESEN M.D.
Psychiatry & Neurology (Psychiatry)
8901 WISCONSIN AVE, WRNMMC, NICOE, BUILDING 51
BETHESDA, MD 20889
Montgomery County (301) 319-3772
MS. CARLA PATRICE ALEXIS P.T.
Physical Therapist
8901 WISCONSIN AVE
BETHESDA, MD 20889
Montgomery County (301) 295-4880

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 Katharine Clark's NPI number?

The NPI number for Katharine Clark is 1174093629. It was assigned to this individual provider in the NPPES registry on November 27, 2018.

Where is Katharine Clark located?

Katharine Clark practices at 8901 Wisconsin Ave, Bethesda, MD 20889. The listed phone number is (301) 295-4000.

What is Katharine Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Katharine Clark enrolled in Medicare?

Yes. Katharine Clark is registered in the Medicare PECOS enrollment system.

Is Katharine Clark affiliated with any hospitals?

According to CMS data, Katharine Clark is affiliated with Adventist Healthcare White Oak Medical Center.

When was this NPI record last updated?

The NPPES record for Katharine Clark was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.