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CHARLES CLARK
NPI 1265023535
Nurse Anesthetist, Certified Registered in Baltimore, MD

Active since January 29, 2021Accepts Medicare Assignment
3001 S HANOVER ST, BALTIMORE, MD 21225(410) 350-3200 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 24, 2024, Jun 9, 2021, Jan 29, 2021 (3 updates tracked since 2021).

About Charles Clark NPPES

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

CHARLES CLARK (NPI 1265023535) is an individual nurse anesthetist, certified registered in Baltimore, Maryland, licensed in Maryland (R217337) and active in the NPI registry since January 2021. He is affiliated with Medstar Franklin Square Medical Center, maintains a secondary practice location in York, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265023535
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCHARLES CLARK
Location Address3001 S HANOVER STBaltimore, MD 21225-1233
Mailing Address1365 Old Westminster RdWestminster, MD 21157-6712 · (443) 974-2425
Phone(410) 350-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 29, 2021
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1265023535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MD · R217337✔ Licensed in PA · RN702962
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN702962 (PA)
3001 S HANOVER ST, Baltimore, MD 21225
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Secondary Practice Location 1

Location 11701 Innovation DrYork, PA 17408-8815 · Phone (717) 843-8623

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

Charles Clark 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 ID4880094085
PECOS Enrollment IDI20211018000874

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
21 services21 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210015
Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County
Emergency services Birthing friendly

Carroll Hospital Center

Acute Care Hospitals · Westminster, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210033
Location200 Memorial AvenueWestminster, MD 21157 · Carroll County
Emergency services Birthing friendly

Medstar Harbor Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210034
Location3001 South Hanover StreetBaltimore, MD 21225 · Baltimore City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21225 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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. BARUN ARYAL M.D.
Radiology (Diagnostic Radiology)
3001 S HANOVER ST, DEPT OF INTERNAL MEDICINE
BALTIMORE, MD 21225
Baltimore City (410) 350-3565
DR. MAHESWORA BAIDYA M.D.
Internal Medicine (Cardiovascular Disease)
3001 S HANOVER ST
BALTIMORE, MD 21225
Baltimore City (410) 350-3200
DR. JAMES BRUCE STRAIT III MD, PH.D.
Internal Medicine (Cardiovascular Disease)
3001 S HANOVER ST, NATIONAL INSTITUTE ON AGING, 5TH FLOOR OF HARBOR HOSP.
BALTIMORE, MD 21225
Baltimore City (202) 821-7271
HARBOR EYES OPTICAL INC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3001 S HANOVER ST, GRUEHN BUILDING SUITE 100
BALTIMORE, MD 21225
Baltimore City (410) 354-6401
ROLANDO B. ALEGADO MD PA
Specialist
3001 S HANOVER ST
BALTIMORE, MD 21225
Baltimore City (410) 354-2233
FATEH HRAKY SR.
Obstetrics & Gynecology
3001 S HANOVER ST, SUITE 301
BALTIMORE, MD 21225
Baltimore City (410) 350-0800
DR. MICHAEL ADAM SILVERMAN MD
Emergency Medicine
3001 S HANOVER ST
BALTIMORE, MD 21225
Baltimore City (410) 350-3575
JOHN J CARBONE M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3001 S HANOVER ST, GRUEHN BLDG, STE 502
BALTIMORE, MD 21225
Baltimore City (410) 350-8300

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 Charles Clark's NPI number?

The NPI number for Charles Clark is 1265023535. It was assigned to this individual provider in the NPPES registry on January 29, 2021.

Where is Charles Clark located?

Charles Clark practices at 3001 S Hanover St, Baltimore, MD 21225. The listed phone number is (410) 350-3200.

What is Charles Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Charles Clark enrolled in Medicare?

Yes. Charles 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.

Is Charles Clark affiliated with any hospitals?

According to CMS data, Charles Clark is affiliated with Medstar Franklin Square Medical Center, Carroll Hospital Center and Medstar Harbor Hospital.

When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.