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

Q: 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.

Q: 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.

Q: 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.

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: October 18, 2026.

On this page

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

Phone(505) 272-4814

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

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Other Identifiers 3

Medicare ID-Type UnspecifiedKR36158LMD

Medicaid231351100MD

Medicare UPINF98660MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Douglas Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unm Medical Group Inc

Same address

Multi-Specialty

2211 LOMAS NE
Albuquerque, NM 87106

Reassigned Medicare billing, New Mexico enrollment
2,105 clinicians in this Medicare group

NPI 1831218627 (505) 272-3303

Presbyterian Healthcare Services

1.2 mi

General Acute Care Hospital

1100 CENTRAL SE
Albuquerque, NM 87106

Reassigned Medicare billing, New Mexico enrollment
2,331 clinicians in this Medicare group

NPI 1215913470 (505) 841-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

GLYNNIS INGALL

Pathology (Anatomic Pathology & Clinical Pathology)

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-2445

DR. RACHEL ELIZABETH WEMHOFF MD

Obstetrics & Gynecology

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-2245

DR. JAMES MAXWELL DECKER AUD

Audiologist

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-3535

ISABELLA REITZ-PEREZ MD

Student in an Organized Health Care Education/Training Program

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-4161

LAURA MIGLIACCIO

Advanced Practice Midwife

2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-2242

DR. KAREN RENEE CRAIG M.D.

Radiology (Diagnostic Radiology)

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-0011

DR. LESLIE ERIN STRICKLER DO

Pediatrics

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-5551

UNM MEDICAL GROUP INC

Pathology (Clinical Pathology/Laboratory Medicine)

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Bernalillo County (505) 272-3200

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.

Which organizations bill Medicare for Douglas Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Clark reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and Presbyterian Healthcare Services (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.