Individual provider Active NPI

Taharka Kingo McCleave, D.O.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1225444516
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
304303 Issued in NY
Practice address
450 Clarkson Ave
Box 1228
Brooklyn, NY 11203-2012
Phone
(718) 245-3318
NPI assigned
Jul 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 304303 NY Primary
Emergency Medicine Physician 207P00000X 21037 NH
Emergency Medicine Physician 207P00000X 25MB10861600 NJ
Emergency Medicine Physician 207P00000X 5101025677 MI

Addresses

Primary practice location

450 Clarkson Ave
Box 1228
Brooklyn, NY 11203-2012

Mailing address

450 Clarkson Ave
Box 1228
Brooklyn, NY 11203-2012
Phone (718) 245-3318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME, NJ, NH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200714000973 NY Practitioner - Emergency Medicine 8224451976 Reassigns benefits to 2 organizations
I20200720000394 ME Practitioner - Emergency Medicine 8224451976 Reassigns benefits to 3 organizations
I20210721003915 NJ Practitioner - Emergency Medicine 8224451976 Reassigns benefits to 3 organizations
I20220105002295 NH Practitioner - Emergency Medicine 8224451976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo Emergency Associates LLPGroup PAC ID 4981502515, 54 clinicians

Practice addresses (Care Compare)

2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone (716) 447-1304

Hospital & facility affiliations

  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Kings County Hospital Center Hospital, Brooklyn, NY, CCN 330202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304303NYMDCase Management Registered Nurse
5101025677MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Down East Community Hospital CurrentSince Apr 12, 2022 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
New Hampshire Emergency Physician Associates PC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Calais Community Hospital CurrentSince Apr 12, 2022 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Calais Community Hospital CurrentSince Apr 12, 2022 Accepting new patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Jun 11, 2020 Accepting new patients
Calais Community Hospital Current Accepting new patients
Plainfield Emergency Physicians, PA Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Down East Community Hospital CurrentSince Apr 12, 2022 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Kings County Hospital Center Past Accepting new patients

Locations

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

65 James St
Edison, NJ 08820
Phone (732) 321-7010

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

122 DeKalb Ave
Brooklyn, NY 11217

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1225444516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 1228",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-245-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 1228",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-245-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEAVE",
        "first_name": "TAHARKA",
        "middle_name": "KINGO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "304303",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "21037",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10861600",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101025677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.