Carolyn Chen Clark, MD
NPI 1336536036ActiveIndividual· Radiology, Diagnostic Radiology· Kailua, HI
Radiology, Diagnostic Radiology (MD) in Kailua, Hawaii, trained at University of Washington School of Medicine (class of 2015). Medicare paid $30,941 for services to 394 patients in 2024.
Overview
| NPI | 1336536036 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 20, 2015 |
| Last updated in NPPES | Apr 12, 2022 |
| Certified by provider | Apr 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 21521 | HI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (HI); Practitioner - Diagnostic Radiology (NH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 394 |
|---|---|
| Services billed | 2,809 across 65 procedure codes |
| Paid by Medicare | $30,941 |
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Southern New Hampshire Radiology Consultants PCBedford, NH · 41 clinicians
Hospital affiliations
- Androscoggin Valley HospitalBerlin, NH
- Catholic Medical CenterManchester, NH
- Elliot HospitalManchester, NH
- Southern Nh Medical CenterNashua, NH
- Weeks Medical CenterLancaster, NH
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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