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

Victoria Ivellise Clark, MD

Individual provider Orthopaedic Surgery Physician · NPI 1619362183

Victoria Ivellise Clark, MD is an Orthopedic Surgery in Washington, District of Columbia. Graduated from Howard University College of Medicine in 2015, 11 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
Howard University College of Medicine
Licensed in
NY
In the registry since
2015
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

2041 Georgia Ave NW
Washington, DC 20060-0001
Phone: (202) 865-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1650 Grand Concourse, Bronx, NY 10457-7606 — (718) 992-7669

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 317706 (NY)

Record details

NPI number1619362183
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2015
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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