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EKATERINA LAVROUSHINA CLARK MD
NPI 1265327464
Obstetrics & Gynecology in Royal Oak, MI

Active since June 10, 2025PECOS Enrolled
3535 W 13 MILE RD STE 140, ROYAL OAK, MI 48073(248) 551-3000(248) 551-9426 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ekaterina Lavroushina Clark Md NPPES

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

EKATERINA LAVROUSHINA CLARK MD (NPI 1265327464) is an individual obstetrics & gynecology provider in Royal Oak, Michigan, licensed in Michigan (4351054421) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265327464
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameEKATERINA LAVROUSHINA CLARKCredential: MD
Location Address3535 W 13 MILE RD STE 140Royal Oak, MI 48073-6770
Mailing Address3535 W 13 Mile Rd Ste 140Royal Oak, MI 48073-6770 · (248) 551-3000 · Fax (248) 551-9426
Phone(248) 551-3000
Fax(248) 551-9426
Sole ProprietorNo
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1265327464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4351054421
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3535 W 13 MILE RD STE 140, Royal Oak, MI 48073
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Other Names 1

Other Name (5)Ekaterina Liu-clark Lavroushin Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ekaterina Lavroushina Clark Md 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 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA ROGERS MD
Obstetrics & Gynecology
3535 W 13 MILE RD STE 140
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
RICHA PATEL DO
Obstetrics & Gynecology
3535 W 13 MILE RD STE 140
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
STEPHANIE YUEN TING WONG MD
Obstetrics & Gynecology
3535 W 13 MILE RD STE 140
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
PARISA BASTANI
Obstetrics & Gynecology
3535 W 13 MILE RD STE 140
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
HEATHER ASHLYN KOWALSKI
Nurse Practitioner (Family)
3535 W 13 MILE RD STE 140
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
DR. SHANNON MELISSA FINNER DO
Obstetrics & Gynecology
3535 W 13 MILE RD STE 140
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
ELANA KATHRYN PERRY
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3535 W 13 MILE RD STE 140
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
ALEXIS MALECKI
Obstetrics & Gynecology
3535 W 13 MILE RD STE 140
ROYAL OAK, MI 48073
Oakland County (248) 551-3000

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 Ekaterina Clark's NPI number?

The NPI number for Ekaterina Clark is 1265327464. It was assigned to this individual provider in the NPPES registry on June 10, 2025. The provider is also known as Ekaterina Liu-Clark Lavroushin MD.

Where is Ekaterina Clark located?

Ekaterina Clark practices at 3535 W 13 Mile Rd Ste 140, Royal Oak, MI 48073. The listed phone number is (248) 551-3000.

What is Ekaterina Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ekaterina Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ekaterina Clark was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.