Individual provider Active NPI

Nicholas Edward Clarke, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hillsboro, OR
National Provider Identifier
1124112016
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD24800 Issued in OR
Practice address
364 SE 8TH Ave Ste 301
Hillsboro, OR 97123-4250
Phone
(503) 681-4233
Fax
(503) 681-4234
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD24800 OR Primary

Addresses

Primary practice location

364 SE 8TH Ave Ste 301
Hillsboro, OR 97123-4250

Mailing address

364 SE 8TH Ave Ste 301
Hillsboro, OR 97123-4250
Phone (503) 681-4233

Other practice location 1

6475 SW Borland Rd Ste L
Tualatin, OR 97062-9708
Phone (503) 692-2300

Other identifiers 2

IdentifierTypeStateIssuer
P00191867OtherRAILROAD MEDICARE
232821MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20040419000026 OR Practitioner - Endocrinology 1052306131 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD24800ORMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare CurrentSince Mar 1, 2004 Accepting new patients
Tuality Medical Group LLC CurrentSince Nov 20, 2017 Accepting new patients
Tuality Healthcare Current Accepting new patients
Tuality Healthcare Current Accepting new patients
Tuality Medical Group LLC CurrentSince Dec 1, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Mar 4, 2026 Accepting new patients

Locations

2725 SW Cedar Hills Blvd
Ste 250
Beaverton, OR 97005
Phone (503) 413-4060

364 SE 8th Ave
Ste 201
Hillsboro, OR 97123
Phone (503) 418-4200

364 SE 8th Ave
Ste 301
Hillsboro, OR 97123
Phone (503) 681-4233

364 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-4145

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

Organizations & group practices 6

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": "1772582400000",
    "number": "1124112016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 SE 8TH AVE STE 301",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234250",
            "telephone_number": "503-681-4233",
            "fax_number": "503-681-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 SE 8TH AVE STE 301",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234250",
            "telephone_number": "503-681-4233",
            "fax_number": "503-681-4234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6475 SW Borland Rd Ste L",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970629708",
            "country_code": "US",
            "telephone_number": "503-692-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "NICHOLAS",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD24800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00191867",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232821",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.