DR. JASON PAUL CLARK MD NPI 1255356150
Internal Medicine (Critical Care Medicine) in Dallas, TX
NPI Profile for DR. JASON PAUL CLARK MD
Jason Clark is an internal medicine provider established in Dallas, Texas and his medical specialization is internal medicine (critical care medicine) with more than 22 years of experience. He graduated from University Of Texas Southwestern Medical School At Dallas in 2001. The NPI number of Jason Clark is 1255356150 and was assigned on July 2006. The practitioner's primary taxonomy code is 207RC0200X with license number L7690 (TX). The provider is registered as an individual and his NPI record was last updated 9 years ago.
An internist like Dr. Jason Paul Clark Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Jason Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Jason Clark is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Parkland Health & Hospital System.
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.04 for a new patient copayment and $26.41 for an established patient copayment.
| NPI | 1255356150 |
| Provider Name | DR. JASON PAUL CLARK MD |
| Provider Location Address | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 |
| Provider Mailing Address | P.O. BOX 845347 DALLAS, TX 75284 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2001 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 07-12-2006 |
| Last Update Date | 01-23-2013 |
Primary Taxonomy
| Taxonomy Code | 207RC0200X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Critical Care Medicine |
| License No. | L7690 |
| License State | TX |
| Taxonomy Description | An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Business Address
DR. JASON PAUL CLARK MD
5323 HARRY HINES BOULEVARD
DALLAS, TX
ZIP 75390
Phone: (214) 645-2800
Fax: (214) 645-2808
Mailing Address
DR. JASON PAUL CLARK MD
P.O. BOX 845347
DALLAS, TX
ZIP 75284
Phone: (214) 645-2800
Fax: (214) 645-2808
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 9739197179 |
| PECOS Enrollment ID | I20060328000116 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 75390 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $59.43 | $179.71 | $136.17 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.85 | $44.92 | $34.04 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.75 | $147.31 | $105.64 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.68 | $36.82 | $26.41 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jason Clark is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| PARKLAND HEALTH & HOSPITAL SYSTEM | 5200 HARRY HINES BLVD DALLAS, TX 75235 | (214) 590-8000 | Acute Care Hospitals | 450015 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | L7690 | TX | No | |
Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. | |||||||
| 2 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | L7690 | TX | No |
Taxonomy Description: an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 179096602 | MEDICAID (05) | TX | |
| TXB156018 | MEDICARE PIN (08) | TX | |
| 179096603 | MEDICAID (05) | TX | |
| 8K1369 | MEDICARE PIN (08) | TX | |
| 8S3696 | OTHER (01) | TX | BCBS |
| I50883 | MEDICARE UPIN (02) | TX |
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 5 | 6 | 1 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 5 | 12 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 5 + 1 + 2 + 1 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1255356150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023078607 | SUSAN THERESA IANNACCONE MD Individual | Psychiatry & Neurology (Neurology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-2768 |
| 1174584593 | CLAUS G ROEHRBORN MD Individual | Urology | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-0624 |
| 1245338623 | MR. KEMP H KERNSTINE MD, PH.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-7700 |
| 1285825505 | SHANNON ELIZABETH BLALOCK MD Individual | Pediatrics (Pediatric Cardiology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-2333 |
| 1184788416 | DR. DHARAM JAYDEEP KUMBHANI M.D. Individual | Internal Medicine (Cardiovascular Disease) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-8000 |
| 1013063627 | SASAN MIRFAKHRAEE MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-2800 |
| 1548307481 | DR. ISABEL CRISTINA ROJAS SANTAMARIA M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-8000 |
| 1154539534 | TARA MICHELLE DUVAL MD Individual | Internal Medicine (Geriatric Medicine) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-8600 |
| 1689834277 | DR. ABBIE MARTHA EWELL MD Individual | Psychiatry & Neurology (Psychiatry) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 590-8761 |
| 1235387531 | MANISH R MOHANKA MD, MPH Individual | Internal Medicine (Pulmonary Disease) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-2800 |
| 1104053628 | ANITA ANJALI HEGDE M.D. Individual | Internal Medicine | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-9741 |
| 1689965659 | DR. MICHELLE RIMA KANDALAFT PH.D. Individual | Psychologist | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-5160 |
| 1013977487 | DR. ARTHUR EDWARD FRANKEL MD Individual | Internal Medicine (Hematology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-4673 |
| 1932250115 | DR. BRIDGET DANIELLE STUART MD Individual | Pediatrics (Pediatric Pulmonology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-3903 |
| 1225229164 | DR. ZARMINA AMAN MD Individual | Obstetrics & Gynecology | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-3838 |
| 1609053875 | DR. DEVIKA RADHIKA RAO MD Individual | Pediatrics (Pediatric Pulmonology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-2857 |
| 1992956825 | SHAI MANZURI MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-5095 |
| 1841385580 | DR. CATHERINE B. ORSAK M.D. Individual | Psychiatry & Neurology (Psychiatry) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-3043 |
| 1750554689 | DR. DIANA PATRICIA CASTRO MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-2768 |
| 1629288550 | AURELIA MARIE SCHMALSTIEG M.D. Individual | Internal Medicine (Infectious Disease) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-2800 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Dr. Jason Paul Clark Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.