KENDALL CLARK
NPI 1639756737
Internal Medicine in Slidell, LA

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
1001 GAUSE BLVD, SLIDELL, LA 70458(985) 280-2200 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 8, 2024, Mar 25, 2021 (2 updates tracked since 2021).

About Kendall Clark NPPES

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

KENDALL CLARK (NPI 1639756737) is an individual internal medicine provider in Slidell, Louisiana, licensed in Louisiana (341154) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of William Carey University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1639756737
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENDALL CLARK
Location Address1001 GAUSE BLVDSlidell, LA 70458-2939
Mailing Address2108 Clayton PlHattiesburg, MS 39402-2805
Sole ProprietorYes
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
NPI 1639756737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · 341154
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1001 GAUSE BLVD, Slidell, LA 70458

Accepted 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

Kendall 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.

PECOS PAC ID1254725567
PECOS Enrollment IDI20240823003743
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
107 services46 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
50 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190040
Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70458 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

Nurse Practitioner (Acute Care)
1001 GAUSE BLVD
SLIDELL, LA 70458
Nurse Practitioner
1001 GAUSE BLVD
SLIDELL, LA 70458
Nurse Anesthetist, Certified Registered
1001 GAUSE BLVD
SLIDELL, LA 70458
Emergency Medicine (Emergency Medical Services)
1001 GAUSE BLVD
SLIDELL, LA 70458
Nurse Anesthetist, Certified Registered
1001 GAUSE BLVD
SLIDELL, LA 70458
Nurse Anesthetist, Certified Registered
1001 GAUSE BLVD
SLIDELL, LA 70458
Surgery
1001 GAUSE BLVD
SLIDELL, LA 70458
Nurse Anesthetist, Certified Registered
1001 GAUSE BLVD
SLIDELL, LA 70458

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 Kendall Clark's NPI number?

The NPI number for Kendall Clark is 1639756737. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Kendall Clark located?

Kendall Clark practices at 1001 Gause Blvd, Slidell, LA 70458. The listed phone number is (985) 280-2200.

What is Kendall Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kendall Clark enrolled in Medicare?

Yes. Kendall 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 Kendall Clark accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Kendall 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.

Is Kendall Clark affiliated with any hospitals?

According to CMS data, Kendall Clark is affiliated with Ochsner Medical Center Acute and Slidell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kendall Clark was last updated on July 8, 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.