MICHAEL THOMAS CLARK
NPI 1780147298
Pediatrics - Pediatric Cardiology in Columbus, OH

Active since April 11, 2019PECOS Enrolled
700 CHILDRENS DR, COLUMBUS, OH 43205(614) 722-6200 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2026, Jul 25, 2022, Apr 11, 2019 (3 updates tracked since 2019).

About Michael Thomas Clark NPPES

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

MICHAEL THOMAS CLARK (NPI 1780147298) is an individual pediatric cardiology provider in Columbus, Ohio, licensed in Ohio (35.154087) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2019).

NPPES Registry Identity

NPI1780147298
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameMICHAEL THOMAS CLARK
Location Address700 CHILDRENS DRColumbus, OH 43205-2664
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2019
Enumeration DateApril 11, 2019
Last NPPES UpdateJune 15, 20263 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
NPI 1780147298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in OH · 35.154087
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 35.154087 (OH)
Also ListedPediatrics · Hospice and Palliative MedicineTaxonomy 2080H0002X · License 35.154087 (OH)
700 CHILDRENS DR, Columbus, OH 43205

Other Identifiers 1

Medicaid0370188OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Thomas Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305173915
PECOS Enrollment IDI20260622002394
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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pediatrics
700 CHILDRENS DR
COLUMBUS, OH 43205
Surgery
700 CHILDRENS DR, CCPR
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Nurse Practitioner (Pediatrics)
700 CHILDRENS DR
COLUMBUS, OH 43205

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 1780147298. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Michael Clark located?

Michael Clark practices at 700 Childrens Dr, Columbus, OH 43205. The listed phone number is (614) 722-6200.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Michael Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.