OANH NGUYEN CLARK (DO) – Hospice and Palliative Medicine (Emergency Medicine) Physician, NPI 1811104938

OANH NGUYEN CLARK (DO) is a healthcare provider. based in Columbus, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 9000 (OH). The NPI Number for OANH NGUYEN CLARK (DO) is 1811104938

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
OANH NGUYEN CLARK (DO)
NPI
1811104938
Phone
(614) 851-1937
Address
5156 BAKER RIDGE DR
Enumeration Date
17 May 2007
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9169735000
Graduation Year
2004 (22 years ago)
PAC ID
9739277815
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20081220000128
Address ID
CA958252115SA2025XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for OANH NGUYEN CLARK (DO)

  • 5156 BAKER RIDGE DR

    COLUMBUS, OH 432281794

    Phone: (614) 851-1937

    Mailing address matches the actual address.

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: 2008-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20081220000128IEmergency MedicineCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43228)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

Where can patients find OANH NGUYEN CLARK (DO)'s NPI?
You can confirm OANH NGUYEN CLARK (DO) with NPI 1811104938; it appears in the national provider directory.
Is OANH NGUYEN CLARK (DO) active in the national directory?
OANH NGUYEN CLARK (DO)'s public NPI profile is in an active state.
Can you summarize OANH NGUYEN CLARK (DO)'s specialty in plain language?
Clinically, the directory lists OANH NGUYEN CLARK (DO) with Hospice and Palliative Medicine (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Does OANH NGUYEN CLARK (DO) practice in Ohio?
You will see Columbus, Ohio on file for OANH NGUYEN CLARK (DO) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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