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KEAIRA CLARK MD
NPI 1497594998
Student in an Organized Health Care Education/Training Program in Allentown, PA

Active since May 23, 2024PECOS Enrolled
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(484) 862-3200 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keaira Clark Md NPPES

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

KEAIRA CLARK MD (NPI 1497594998) is an individual student in an organized health care education/training program in Allentown, Pennsylvania, licensed in Pennsylvania (MT231964) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1497594998
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKEAIRA CLARKCredential: MD
Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103-6202
Mailing Address1200 S Cedar Crest BlvdAllentown, PA 18103-6202
Phone(484) 862-3200
Sole ProprietorNo
Enumeration DateMay 23, 2024
Last NPPES UpdateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1497594998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · MT231964
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 S CEDAR CREST BLVD, Allentown, PA 18103
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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 955-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keaira 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.

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.

MUHAMMAD MAJEED MD
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-5369
AARSHITHA SRINIVAS KATTA DO
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-5369
CARLY A. SHAFFER DO
Internal Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (484) 862-3156
NORMA D. WILSON CRNA
Nurse Anesthetist, Certified Registered
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-9099
ASHLEY VOJTEK DO
Student in an Organized Health Care Education/Training Program
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (484) 862-3200
DR. DOUGLAS MCHALE DO
Pediatrics
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-7712
ANNE ALICIA TOKOS MD
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-8000
CHRISTINE XUE
Radiology (Diagnostic Radiology)
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (484) 274-3702

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 Keaira Clark's NPI number?

The NPI number for Keaira Clark is 1497594998. It was assigned to this individual provider in the NPPES registry on May 23, 2024.

Where is Keaira Clark located?

Keaira Clark practices at 1200 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (484) 862-3200.

What is Keaira Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keaira Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keaira Clark was last updated on May 22, 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.