Kirby P. Clark, M.D.

NPI 1407893795ActiveIndividual· Radiology, Diagnostic Radiology· Waterloo, IA

Radiology, Diagnostic Radiology (M.D.) in Waterloo, Iowa, trained at University of Michigan Medical School (class of 1995). Medicare paid $178,369 for services to 1,169 patients in 2024.

Overview

NPI	1407893795
Status	Active
Entity type	Individual
Credential	M.D.
Sole proprietor	No
NPI issued	Jun 2, 2006
Last updated in NPPES	Nov 21, 2023
Certified by provider	Nov 21, 2023

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	35956	IA
Radiology, Diagnostic Radiology	2085R0202X	42049-20	WI
Radiology, Diagnostic Radiology	2085R0202X	036126457	IL

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026	No match	—
New York OMIG · Nov 10, 2026	No match	—
Ohio Medicaid · Nov 10, 2026	No match	—
Pennsylvania Medicheck · Nov 10, 2026	No match	—
Washington HCA · Nov 10, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Diagnostic Radiology (IA); Practitioner - Diagnostic Radiology (IL); Practitioner - Diagnostic Radiology (WI)
Accepts assignment	Yes (participating)