Individual provider Active NPI

Emmalyn Cruz De Claro, M.D.

  • Pediatrics Physician
  • Gaithersburg, MD
National Provider Identifier
1053435990
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0071013 Issued in MD
Practice address
200 Girard St Ste 100
Gaithersburg, MD 20877-3466
Phone
(301) 216-0880
Fax
(301) 216-2891
NPI assigned
Mar 17, 2007
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0071013 MD Primary

Addresses

Primary practice location

200 Girard St Ste 100
Gaithersburg, MD 20877-3466

Mailing address

200 Girard St
Suite 212-a
Gaithersburg, MD 20877-3466
Phone (301) 216-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227000493 DC Practitioner - Pediatric Medicine 9739463399 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0071013MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinic, Inc CurrentSince Jan 3, 2017 Accepting new patients
Community Clinic, Inc. Pediatrics CurrentSince Jan 3, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

200 Girard St
Ste 100
Gaithersburg, MD 20877
Phone (301) 216-0880

200 Girard St
Ste 212A
Gaithersburg, MD 20877
Phone (301) 216-0880

220 Girard St
Ste 100
Gaithersburg, MD 20877
Phone (301) 216-0880

8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250

8630 Fenton St
Ste 1204
Silver Spring, MD 20910
Phone (240) 499-2636

8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525

7676 New Hampshire Ave
Ste 220A
Takoma Park, MD 20912
Phone (301) 431-2972

Interoperability endpoints

  • Direct secure messaging: emmalyn.declaro@ccicares.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1053435990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GIRARD ST",
            "address_2": "SUITE 212-A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773466",
            "telephone_number": "301-216-0880",
            "fax_number": "301-216-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GIRARD ST STE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773466",
            "telephone_number": "301-216-0880",
            "fax_number": "301-216-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CLARO",
        "first_name": "EMMALYN",
        "middle_name": "CRUZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0071013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.