LETITIA CLARK
NPI 1497753552
Radiology - Diagnostic Radiology in Washington, DC
About Letitia Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LETITIA CLARK (NPI 1497753552) is an individual diagnostic radiology provider in Washington, District Of Columbia, licensed in District Of Columbia (14380) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1979).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Letitia 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.
Medicare Billing Reassignments
5Medicare enrollment records show Letitia Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, DC 20007
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1376887844 (Maryland)
- 3,530 clinicians in this Medicare group
Washington, DC 20007
- Reassigned Medicare billing, District of Columbia enrollment
- 861 clinicians in this Medicare group
Washington, DC 20016
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1144677741 (Maryland)
- 156 clinicians in this Medicare group
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 178 clinicians in this Medicare group
Hollywood, MD 20636
- Reassigned Medicare billing, Maryland enrollment
- 307 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 7
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.
Medstar Saint Mary's Hospital
Acute Care Hospitals · Leonardtown, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WASHINGTON, DC 20007
WASHINGTON, DC 20007
WASHINGTON, DC 20007
WASHINGTON, DC 20007
WASHINGTON, DC 20007
WASHINGTON, DC 20007
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 Letitia Clark's NPI number?
The NPI number for Letitia Clark is 1497753552. It was assigned to this individual provider in the NPPES registry on July 13, 2005.
Where is Letitia Clark located?
Letitia Clark practices at 3800 Reservoir Rd NW, Washington, DC 20007. The listed phone number is (202) 444-3400.
What is Letitia Clark's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Letitia Clark enrolled in Medicare?
Yes. Letitia 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 organizations bill Medicare for Letitia Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Letitia Clark reassigns Medicare benefits to 5 organizations: Medstar Medical Group II LLC (Washington, DC), Mgmc LLC (Washington, DC), Physician Imaging Of Washington Hospital Center, LLC (Washington, DC), Medstar Medical Group Radiology, LLC (Washington, DC) and Medstar Medical Group - Southern Maryland LLC (Hollywood, MD). Each 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 Letitia Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Letitia Clark affiliated with any hospitals?
According to CMS data, Letitia Clark is affiliated with Medstar Saint Mary's Hospital.
When was this NPI record last updated?
The NPPES record for Letitia Clark was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Letitia Clark · NPI 1497753552
Diagnostic Radiology physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since July 13, 2005.
## Identity
- **NPI:** 1497753552 (Entity type: Individual)
- **Enumerated:** July 13, 2005
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 14380 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 RESERVOIR RD NW, Washington, DC 20007-2113
- **Phone:** (202) 444-3400
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Medstar Medical Group II LLC (NPI 1205562816, Washington, DC); Mgmc LLC (NPI 1316949654, Washington, DC); Physician Imaging Of Washington Hospital Center, LLC (NPI 1588204614, Washington, DC); Medstar Medical Group Radiology, LLC (NPI 1326450156, Washington, DC); Medstar Medical Group - Southern Maryland LLC (NPI 1831592211, Hollywood, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 1979
## Record status
- **NPPES last updated:** March 5, 2012
- **Other identifiers:** Medicare PIN 000S62G65 (DC); Medicare UPIN C88369
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Source: [NPI Profile](https://npiprofile.com/npi/1497753552) · Data from the CMS NPPES public registry.