Individual provider Active NPI

Erin Elizabeth Clarke, MD

  • Allergy Physician
  • Dallas, TX
National Provider Identifier
1285843599
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
N4355 Issued in TX
Practice address
8201 Preston Rd Ste 275
Dallas, TX 75225-6222
Phone
(469) 310-3681
Fax
(214) 238-8084
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X N4355 TX Primary

Addresses

Primary practice location

8201 Preston Rd Ste 275
Dallas, TX 75225-6222

Mailing address

8201 Preston Rd Ste 275
Dallas, TX 75225-6222
Phone (469) 310-3681

Other names 1

  • Erin Elizabeth Leach Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151130000145 TX Practitioner - Allergy/Immunology 4981831476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8201 Preston Rd
Suite 275
Dallas, TX 75225-6222
Phone (469) 310-3681

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmo Investment Group, PLLC CurrentSince Mar 15, 2021 Accepting new patients
Kma Radiology, PA Past Accepting new patients

Locations

8201 Preston Rd
Ste 275
Dallas, TX 75225
Phone (214) 365-0400

8201 Preston Rd
Ste 460
Dallas, TX 75225

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAAJDD/Endpoint/DAAJDD

Organizations & group practices 2

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1285843599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD STE 275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256222",
            "telephone_number": "469-310-3681",
            "fax_number": "214-310-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD STE 275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256222",
            "telephone_number": "469-310-3681",
            "fax_number": "214-238-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "N4355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "LEACH",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.