Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gavin Kestral Clark, MD

Individual provider Emergency Medicine Physician · NPI 1063160695

Dr. Gavin Kestral Clark, MD is an Emergency Medicine in Washington, District of Columbia. Graduated from Georgetown University School of Medicine in 2023, 3 years ago. Licensed in District of Columbia, Maryland and Virginia.

Years since qualifying
3
Trained at
Georgetown University School of Medicine
Licensed in
DC, MD, VA
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

110 Irving St NW Ste NA1177
Washington, DC 20010-3017
Phone: (202) 373-9969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence D0106561 (MD)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD60005590 (DC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 0101288809 (VA)

Record details

NPI number1063160695
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2022
Last updated in NPPESApril 25, 2026
Certification dateApril 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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