Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033185434 Individual Practitioner Male Practitioner

Dr. Michael Clark , MD

Internal Medicine • Maywood, IL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Clark, MD is a registered healthcare professional specializing in Internal Medicine in Maywood, IL. Practice services are available at 2160 S 1ST AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2160 S 1st Ave
101-1740 Loyola University Medical Center

Maywood, IL 60153

Telephone 7082169000
Fax 7082169033
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Maywood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
264 Specialists

Practicing in Maywood, IL (7544 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
71 67 $416.00 $103.80
99213 Established patient office or other outpatient visit, typically 15 minutes
23 23 $282.00 $71.43

Medical Specialties & State Licenses

CMS Verified: 2021-06-24
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 36080197

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 36080197

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
36080197 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Anita Nagamine , MD

Radiology - Diagnostic Radiology

NPI 1003063181

Doctor of Medicine (M.D.)

Dr. Antonio Iglesias , MD

Psychiatry & Neurology - Neurology

NPI 1003142704

Doctor of Medicine (M.D.)

Ian Mccomb

Oral & Maxillofacial Surgery

NPI 1003234287
Dr. James Wu , DO

Psychiatry & Neurology - Psychiatry

NPI 1003242744

Doctor of Osteopathic Medicine (D.O.)

Dr. George Zaleski , MD

Radiology - Diagnostic Radiology

NPI 1003838822

Doctor of Medicine (M.D.)

Dr. Rachel Davis , PsyD

Psychiatry & Neurology - Psychiatry

NPI 1003883471

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2012

Registered at 2160 S 1ST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153 (Tel: 7082169000)

📍
Updated Business Mailing Address May 10, 2012

Registered at 2160 S 1ST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153 (Tel: 7082169000)

👤
Provider Name / Credentials Updated May 10, 2012

Recorded as MICHAEL CLARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2012

Internal Medicine (License #36080197 in IL)

🟢
Initial NPI Registration & Enumeration February 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033185434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2006
Last Update: June 24, 2021
Sole Proprietor: No

Mailing Address

2160 S 1st Ave, 101-1740 Loyola University Medical Center

Maywood, IL 60153

Phone: 7082169000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.