DAMIEN CLARK MD
NPI 1417585340
Hospitalist in Salt Lake City, UT
About Damien Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAMIEN CLARK MD (NPI 1417585340) is an individual hospitalist provider in Salt Lake City, Utah, licensed in Utah (13525693-1205) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Damien Clark Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Damien Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Damien Clark's NPI number?
The NPI number for Damien Clark is 1417585340. It was assigned to this individual provider in the NPPES registry on March 27, 2020.
Where is Damien Clark located?
Damien Clark practices at 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132. The listed phone number is (801) 581-7818.
What is Damien Clark's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Damien Clark enrolled in Medicare?
Yes. Damien 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.
Which organization bills Medicare for Damien Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Damien Clark reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The 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 Damien Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Damien Clark affiliated with any hospitals?
According to CMS data, Damien Clark is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Damien Clark was last updated on March 4, 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.
# Damien Clark, MD · NPI 1417585340
Hospitalist physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 27, 2020.
## Identity
- **NPI:** 1417585340 (Entity type: Individual)
- **Enumerated:** March 27, 2020
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 13525693-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 N 1900 E RM 5R218, Salt Lake City, UT 84132-2632
- **Phone:** (801) 581-7818
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Adult Services (NPI 1932503430, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** March 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417585340) · Data from the CMS NPPES public registry.