Douglas Clark, M.D.
NPI 1710061429ActiveIndividual· Pediatrics· Durham, NC
Pediatrics (M.D.) in Durham, North Carolina, licensed in NC, with an NPI issued in October 2006. Enrolled in Medicare as practitioner - pediatric medicine. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1710061429 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Jan 29, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 29465 | NC |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in North Carolina, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Douglas H. Clark · General Practice/Fp | 1128b4 | May 20, 1998 | Concord, NC |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Possible (name) | See above |
| 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 - Pediatric Medicine (NC) |
|---|
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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