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CLARK ZHANG BERRY MD
NPI 1760238455
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 24, 2024PECOS Enrolled
1120 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 278-2686(317) 278-2650 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clark Zhang Berry Md NPPES

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

CLARK ZHANG BERRY MD (NPI 1760238455) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760238455
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCLARK ZHANG BERRYCredential: MD
Location Address1120 W MICHIGAN STIndianapolis, IN 46202-5209
Mailing Address1120 W Michigan StIndianapolis, IN 46202-5209 · (317) 278-2686 · Fax (317) 278-2650
Phone(317) 278-2686
Fax(317) 278-2650
Sole ProprietorNo
Enumeration DateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1760238455 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
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.
1120 W MICHIGAN ST, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark Zhang Berry 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.

GRETCHEN SUAREZ
Hospitalist
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-0042
BRITTANY AMBER BAKER DO
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
NATHANIEL BLUCKER MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2694
AROOJ IMTIAZ AHMAD MD
Psychiatry & Neurology (Neurology)
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
WESTON HE
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
DR. VICTORIA ANN JACUK DO
Internal Medicine
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-7724
GRANT STELLINI
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2689
ANNIKA KATRIN OIE
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2694

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 Clark Berry's NPI number?

The NPI number for Clark Berry is 1760238455. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Where is Clark Berry located?

Clark Berry practices at 1120 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 278-2686.

What is Clark Berry's specialty?

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

Is Clark Berry enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Clark Berry was last updated on April 24, 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.