MICHAEL STEVEN CLARK M.D.
NPI 1659784031
Radiology - Diagnostic Radiology in St Louis Park, MN
About Michael Steven Clark M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL STEVEN CLARK M.D. (NPI 1659784031) is an individual diagnostic radiology provider in St Louis Park, Minnesota, licensed in Minnesota (59352) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 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
Michael Steven Clark M.d. 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
2Medicare enrollment records show Michael Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
Bloomington, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 693 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 50
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNHutchinson Health
Acute Care Hospitals · Hutchinson, MNOlivia Hospital & Clinic
Critical Access Hospitals · Olivia, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55426 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST LOUIS PARK, MN 55426
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 Michael Clark's NPI number?
The NPI number for Michael Clark is 1659784031. It was assigned to this individual provider in the NPPES registry on June 3, 2014.
Where is Michael Clark located?
Michael Clark practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-5000.
What is Michael Clark's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Michael Clark enrolled in Medicare?
Yes. Michael 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 Michael Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Clark reassigns Medicare benefits to 2 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN) and Tria Orthopaedic Center LLC (Bloomington, MN). 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 Michael Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Clark affiliated with any hospitals?
According to CMS data, Michael Clark is affiliated with Park Nicollet Methodist Hospital, Hutchinson Health and Olivia Hospital & Clinic.
When was this NPI record last updated?
The NPPES record for Michael Clark was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.