Jesse Clark, DO
NPI 1154642585 · Family Medicine Physician · Indianapolis, IN
Enrolled with Medicare as Practitioner - Interventional Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesse Clark, DO is a Family Medicine Physician provider in Indianapolis, IN (NPI 1154642585).
Provider details
- NPI number
- 1154642585
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 02004005A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-06-21
- Last updated
- 2021-06-09
- Certified
- 2021-06-09
Frequently asked questions
- What is Jesse Clark's NPI number?
- Jesse Clark's National Provider Identifier (NPI) is 1154642585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Clark's specialty?
- Jesse Clark is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jesse Clark located?
- Jesse Clark's practice location on file with NPPES is 10122 E. 10th Street, Indianapolis, IN 46229-2697.
- What is Jesse Clark's phone number?
- The practice phone number listed in the NPPES registry for Jesse Clark is (317) 355-5717.
- Does Jesse Clark accept Medicare?
- Jesse Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jesse Clark's NPI active?
- Yes — Jesse Clark's NPI (1154642585) is active in the NPPES registry as of the last update on 2021-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.