MR. JOHN CLARKE (MD) – Diagnostic Radiology Physician, NPI 1689888422

MR. JOHN CLARKE (MD) is a healthcare provider. based in Chicago, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 125070699 (IL). The NPI Number for MR. JOHN CLARKE (MD) is 1689888422

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN CLARKE (MD)
NPI
1689888422
Phone
(504) 717-9733
Address
2345 W HARRISON ST
Enumeration Date
10 May 2007
Last Update Date
17 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5047179733
Graduation Year
2017 (9 years ago)
PAC ID
3870862303
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20230929001166
Address ID
HI967341956KA71XXXPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for MR. JOHN CLARKE (MD)

  • 2345, West Harrison Street, Tri-Taylor, Near West Side, Chicago, West Chicago Township, Cook County, Illinois, 60612, United States

    CHICAGO, IL 606123500

    Phone: (504) 717-9733

    Type: Mailing

  • 8012 GLENDEVAN ST NW

    MASSILLON, OH 446469017

    Phone: (504) 717-9733

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220707001982IDiagnostic RadiologyOHTBD
I20220713002567IDiagnostic RadiologyWITBD
I20230929001166IDiagnostic RadiologyHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast101101$0
71045X-ray of chest, 1 view4342$0
72125Ct scan of upper spine without contrast3232$0
74177Ct scan of abdomen and pelvis with contrast2020$0
70553Mri scan of brain before and after contrast1818$0
View full utilization report →

Insurance plans in this area (ZIP 60612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is there an official ID for MR. JOHN CLARKE (MD) in U.S. healthcare records?
The official identifier for MR. JOHN CLARKE (MD) is NPI 1689888422.
Is MR. JOHN CLARKE (MD) still an active registrant?
MR. JOHN CLARKE (MD) carries an active NPI according to the public dataset.
How would a patient describe MR. JOHN CLARKE (MD)'s focus?
For MR. JOHN CLARKE (MD), the primary taxonomy reads as Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is MR. JOHN CLARKE (MD) located near Chicago?
MR. JOHN CLARKE (MD) currently maps to Chicago, Illinois in this extract.
Does MR. JOHN CLARKE (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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