DANIEL JAMES CLARK M.D., PHD
NPI 1417489618
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Cincinnati, OH

Q: What is Daniel Clark's NPI number?

The NPI number for Daniel Clark is 1417489618. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Q: What is Daniel Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Clark was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment

3333 BURNET AVE ML 1106, CINCINNATI, OH 45229(531) 636-4991(513) 636-3980 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, Jul 28, 2023, Jun 30, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Daniel James Clark M.d., Phd NPPES

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

DANIEL JAMES CLARK M.D., PHD (NPI 1417489618) is an individual neurology with special qualifications in child neurology provider in Cincinnati, Ohio, licensed in Ohio (35.146156) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2017).

NPPES Registry Identity

NPI1417489618

Entity TypeIndividualMale

Primary Taxonomy2084N0402X

Provider Legal NameDANIEL JAMES CLARKCredential: M.D., PHD

Location Address3333 BURNET AVE ML 1106Cincinnati, OH 45229

Mailing Address3333 Burnet Ave Ml 11006Cincinnati, OH 45229 · (513) 636-4991 · Fax (513) 636-3980

Phone(531) 636-4991

Fax(513) 636-3980

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2017

Enumeration DateMarch 28, 2017

Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1417489618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in OH · 35.146156

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 35.146156 (OH)

3333 BURNET AVE ML 1106, Cincinnati, OH 45229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

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

Daniel James Clark M.d., Phd 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 ID9436420544

PECOS Enrollment IDI20230810003116

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 45229 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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 Daniel Clark's NPI number?

The NPI number for Daniel Clark is 1417489618. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Daniel Clark located?

Daniel Clark practices at 3333 Burnet Ave Ml 1106, Cincinnati, OH 45229. The listed phone number is (531) 636-4991.

What is Daniel Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Daniel Clark enrolled in Medicare?

Yes. Daniel 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.

What insurance does Daniel Clark accept?

Health plans from CareSource and MedMutual list Daniel Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Clark was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.