TIMOTHY WILLIAM INGRAHAM CLARK MD NPI 1588629885

NPI Information

  • NPI: 1588629885
  • Provider Name: TIMOTHY WILLIAM INGRAHAM CLARK, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 51 N. 39TH STREET
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 662-3005

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NPI Details

Timothy William Ingraham Clark, MD is a vascular and interventional radiology radiology in Philadelphia, PA with 36 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Timothy William Ingraham Clark, MD NPI is 1588629885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

51 N. 39TH STREET
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3005

The NPI 1588629885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Review by radiologist of additional artery image (HCPCS:75774)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
  • Balloon dilation of artery of leg, each additional vessel (HCPCS:37232)
  • Review by radiologist of pelvis artery image (HCPCS:75736)
  • Occlusion of growths or obstructed vessels with review by radiologist (HCPCS:37243)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Review by radiologist of abscess or sinus cavity study (HCPCS:76080)
  • Injection of contrast through abdominal cavity tube for x-ray study (HCPCS:49424)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 4/19/2006 and was last updated on 4/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD065636LPENNSYLVANIANo
22085R0204XRadiologyVascular & Interventional RadiologyMD065636LPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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