TARA LOWE CLARK (MD) – Family Medicine Physician, NPI 1053971911

TARA LOWE CLARK (MD) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. T6860 (TX). The NPI Number for TARA LOWE CLARK (MD) is 1053971911

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
TARA LOWE CLARK (MD)
NPI
1053971911
Phone
(214) 648-3111
Address
5323 Harry Hines Blvd
Enumeration Date
13 June 2019
Last Update Date
18 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8172818275
Graduation Year
2019 (7 years ago)
PAC ID
6608257258
Group Practice PAC ID
4284074758
Professional Enrollment ID
I20220714000704
Address ID
TX760343949CO4301XTRLX300

Contacts

Secure Messaging
tara.clark.1@30724.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:7State licenses:1Other names

8,706 FAMILY PRACTICE in TX

Provider Addresses for TARA LOWE CLARK (MD)

  • 5323 Harry Hines Blvd

    Dallas, TX 753907201

    Phone: (214) 648-3111

    Type: Location

  • University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States

    DALLAS, TX 753907201

    Phone:

    Type: Mailing

  • 4301 BROWN TRL

    COLLEYVILLE, TX 760343949

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 191 Open Payments records for all available years, with a total value of $3,329.

Total Amount is formed as General ($3,329) + Research ($0) + Ownership ($0) = $3,329.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($513).

Total Amount

$3,329

General + Research + Ownership

Payments

191

Total payment records

General Amount

$3,329

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-07-14

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
I20220714000704IFamily PracticeTXTBD

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 75390)

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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: 4284074758View full group profile
NameSpecialtyState
Family PracticeTX
Internal MedicineTX
Family PracticeTX
Family PracticeTX
Family PracticeTX
Family PracticeNE
Family PracticeTX
Family PracticeTX
Family PracticeTX
Family PracticeTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference TARA LOWE CLARK (MD)?
For TARA LOWE CLARK (MD), use NPI 1053971911 as the unique 10-digit identifier.
Would TARA LOWE CLARK (MD) appear as active to a payer?
You can treat TARA LOWE CLARK (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is TARA LOWE CLARK (MD)?
TARA LOWE CLARK (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is TARA LOWE CLARK (MD) registered?
Use Dallas, Texas as the headline location for TARA LOWE CLARK (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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