Individual provider Active NPI

Barbara Anita Clorey, PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1073607669
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA031176 Issued in DC
Practice address
1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728
Phone
(202) 627-1901
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO548 DC
Primary Podiatric Medicine Podiatrist 213EP1101X 01180 MD
Physician Assistant 363A00000X C0005623 MD
Physician Assistant 363A00000X PA031176 DC Primary

Addresses

Primary practice location

1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

8186 Lark Brown Rd Ste 201
Elkridge, MD 21075-6434
Phone (410) 730-3399 ext. 104

Other practice location 2

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8130

Other identifiers 1

IdentifierTypeStateIssuer
470010400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150303000919 DC Practitioner - Physician Assistant 1456404193 Reassigns benefits to 2 organizations
I20180308002444 MD Practitioner - Physician Assistant 1456404193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centennial Medical Group, PA 34 clinicians
First Call Medical Center LLC 28 clinicians

Practice addresses (Care Compare)

10120 Baltimore National Pike
Ellicott City, MD 21042-3614
Phone (410) 730-3399

10981 Johns Hopkins Rd
Laurel, MD 20723-6002
Phone 4107303399100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PO548DCMDPodiatrist
01180MDMDPrimary Podiatric Medicine Podiatrist
PA031176DCMDPhysician Assistant
C0005623MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Medical Group, PA CurrentSince Jan 20, 2018 Accepting new patients
First Call Medical Center LLC Current Accepting new patients
Centennial Medical Group, PA CurrentSince Jan 20, 2018 Accepting new patients
First Call Medical Center LLC CurrentSince Nov 11, 2018 Accepting new patients
Ellicott City Primary Care LLC Current Accepting new patients
Professional Management Services, LLC Past Accepting new patients
Doctors Community Medical Group LLC Past Accepting new patients
Professional Management Services, LLC Podiatrist Past Accepting new patients

Locations

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111

6250 Old Dobbin Ln
Columbia, MD 21045

6250 Old Dobbin Ln
Ste A
Columbia, MD 21045
Phone (410) 694-7999

8186 Lark Brown Rd
Ste 201
Elkridge, MD 21075
Phone (410) 834-8110

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

Interoperability endpoints

  • Direct secure messaging: bclorey@direct.meditouchehr.com

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1073607669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 1250",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361728",
            "telephone_number": "202-627-1901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8186 Lark Brown Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Elkridge",
            "state": "MD",
            "postal_code": "210756434",
            "country_code": "US",
            "telephone_number": "410-730-3399 x104",
            "fax_number": "443-478-4726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8118 Good Luck Rd",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063574",
            "country_code": "US",
            "telephone_number": "301-552-8130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOREY",
        "first_name": "BARBARA",
        "middle_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DC",
            "license": "PO548",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MD",
            "license": "01180",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005623",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470010400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.