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DR. JAMEEL TAMIR CLARK M.D.
NPI 1952563611
Pediatrics in Louisville, KY

Active since June 25, 2008PECOS Enrolled
4420 DIXIE HWY STE 126, LOUISVILLE, KY 40216(502) 810-3780(502) 394-3607 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2021, Jan 12, 2021, Oct 18, 2016 (3 updates tracked since 2016).

About Dr. Jameel Tamir Clark M.d. NPPES

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

DR. JAMEEL TAMIR CLARK M.D. (NPI 1952563611) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (TP415) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952563611
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAMEEL TAMIR CLARKCredential: M.D.
Location Address4420 DIXIE HWY STE 126Louisville, KY 40216-2994
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 272-5395 · Fax (502) 272-5339
Phone(502) 810-3780
Fax(502) 394-3607
Sole ProprietorNo
Enumeration DateJune 25, 2008
Last NPPES UpdateMarch 26, 20213 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
✔ NPI 1952563611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in KY · TP415✔ Licensed in TN · 47695✔ Licensed in GA · 002969
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4420 DIXIE HWY STE 126, Louisville, KY 40216
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Other Identifiers 1

Medicaid1525008TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jameel Tamir Clark M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40216 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELYSSA RUBERTINO YANTIS
Pediatrics
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216
Jefferson County (502) 810-3780
MS. KELLY LYNN JOHNSTON APRN
Nurse Practitioner (Family)
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216
Jefferson County (502) 810-3780
DR. CARLY WOOD
Psychologist (Clinical)
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216
Jefferson County (502) 810-3780
JAMES DAVIS TIPTON JR. M.D.
Pediatrics
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216
Jefferson County (502) 810-3780
IEISHA BEASLEY
Social Worker (Clinical)
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216
Jefferson County (502) 810-3780

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 Jameel Clark's NPI number?

The NPI number for Jameel Clark is 1952563611. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Jameel Clark located?

Jameel Clark practices at 4420 Dixie Hwy Ste 126, Louisville, KY 40216. The listed phone number is (502) 810-3780.

What is Jameel Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jameel Clark enrolled in Medicare?

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

What insurance does Jameel Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 1 other insurer list Jameel 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.

When was this NPI record last updated?

The NPPES record for Jameel Clark was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.