DAVID JR. CLARK (M.D.) – Family Medicine Physician, NPI 1154385086

DAVID JR. CLARK (M.D.) is a healthcare provider. based in Alexandria, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0101284104 (VA). The NPI Number for DAVID JR. CLARK (M.D.) is 1154385086

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DAVID JR. CLARK (M.D.)
NPI
1154385086
Phone
(571) 560-2621
Address
6218 N KINGS HWY STE B
Enumeration Date
17 April 2006
Last Update Date
5 May 2026

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5714793116
Graduation Year
1982 (44 years ago)
PAC ID
8527136746
Group Practice PAC ID
7012385040
Professional Enrollment ID
I20250207001239
Address ID
VA201475035AS20070PLZX403
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,184 FAMILY PRACTICE in VA

Provider Addresses for DAVID JR. CLARK (M.D.)

  • 6218 N KINGS HWY STE B

    ALEXANDRIA, VA 223032442

    Phone: (571) 560-2621

    Fax: (571) 560-2622

    Type: Location

  • United Medical Center, 1310, Southern Avenue Southeast, Washington, Prince George's County, Washington, D.C., 20032, United States

    WASHINGTON, DC 200324623

    Phone: (202) 574-6000

    Type: Location

  • 2305, Oberwood Drive, Keller's Glen, Charlotte, Mecklenburg County, North Carolina, 28270, United States

    CHARLOTTE, NC 28270

    Phone: (704) 241-8853

    Type: Mailing

  • PO BOX 791775

    BALTIMORE, MD 212791775

    Phone: (571) 302-5000

    Fax: (571) 302-5001

    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: 2025-02-07

PECOS data refreshed: 2026-06-15

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
I20081001000268IFamily PracticeMDTBD
I20110627000213IFamily PracticeDCTBD
I20250207001239IFamily PracticeVATBD

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
99284Emergency department visit with moderate level of medical decision making9188$0
99285Emergency department visit with high level of medical decision making8686$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2828$0
99291Critical care, first 30-74 minutes2120$0
99283Emergency department visit with low level of medical decision making1817$0
View full utilization report →

Insurance plans in this area (ZIP 22303)

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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: 7012385040View full group profile
NameSpecialtyState
Family PracticeDC
Family PracticeAR
Physician AssistantNY
Internal Medicine, General PracticeVA
Physician AssistantMD
Physician AssistantVA
Nurse PractitionerVA
Physician AssistantVA
Nurse PractitionerVA
Physician AssistantVA

Reviews

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Frequently asked questions

What is DAVID JR. CLARK (M.D.)'s NPI number?
DAVID JR. CLARK (M.D.)'s NPI is 1154385086 — the number used across U.S. healthcare to identify this provider.
Is DAVID JR. CLARK (M.D.) shown as active in public data?
Registry records indicate DAVID JR. CLARK (M.D.) maintains an active NPI.
What expertise is attributed to DAVID JR. CLARK (M.D.)?
DAVID JR. CLARK (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DAVID JR. CLARK (M.D.) located near Alexandria?
DAVID JR. CLARK (M.D.) currently maps to Alexandria, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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