DOUGLAS PAUL CLARK M.D.
NPI 1235181132
Pathology - Anatomic Pathology & Clinical Pathology in Albuquerque, NM

Active since May 17, 2006PECOS Enrolled
2211 LOMAS BLVD NE, DEPATMENT OF PATHOLOGY, ALBUQUERQUE, NM 87106(505) 272-4814(505) 272-8084 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Paul Clark M.d. NPPES

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

DOUGLAS PAUL CLARK M.D. (NPI 1235181132) is an individual anatomic pathology & clinical pathology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2013-0937) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235181132
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDOUGLAS PAUL CLARKCredential: M.D.
Location Address2211 LOMAS BLVD NE, DEPATMENT OF PATHOLOGYAlbuquerque, NM 87106-2719
Mailing Address1 University Of New Mexico Pathology Msc08Albuquerque, NM 87131-0001 · (505) 272-4814 · Fax (505) 272-8084
Fax(505) 272-8084
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateDecember 16, 2013
NPI 1235181132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in NM · MD2013-0937
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2211 LOMAS BLVD NE, Albuquerque, NM 87106

Other Identifiers 3

Medicare ID-Type UnspecifiedKR36158LMD
Medicaid231351100MD
Medicare UPINF98660MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Douglas Paul Clark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

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 Douglas Clark's NPI number?

The NPI number for Douglas Clark is 1235181132. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Douglas Clark located?

Douglas Clark practices at 2211 Lomas Blvd NE Depatment Of Pathology, Albuquerque, NM 87106. The listed phone number is (505) 272-4814.

What is Douglas Clark's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Douglas Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Douglas Clark was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.