Individual provider Active NPI

Desiree A Clarke, MD

  • Obstetrics & Gynecology Physician
  • Lake Worth, FL
National Provider Identifier
1568423168
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME151858 Issued in FL
Practice address
2290 10TH Ave N Ste 101
Lake Worth, FL 33461-6609
Phone
(800) 991-6117
NPI assigned
Mar 31, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME151858 FL Primary
Phlebology Physician 202K00000X ME151858 FL

Addresses

Primary practice location

2290 10TH Ave N Ste 101
Lake Worth, FL 33461-6609

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (630) 725-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210816000157 FL Practitioner - Obstetrics/Gynecology 1355409582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wazni PLLCGroup PAC ID 2860629466, 30 clinicians

Practice addresses (Care Compare)

4215 Burns Rd
Suite 260
Palm Beach Gardens, FL 33410-4627
Phone (800) 991-6117

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME151858FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wazni, PLLC CurrentSince Aug 3, 2021 Accepting new patients
St.Uke's - West Care Medical Associates Past Accepting new patients

Locations

1900 Glades Rd
Ste 100
Boca Raton, FL 33431
Phone (561) 416-1145

2290 10th Ave N
Ste 101
Lake Worth, FL 33461
Phone (561) 450-2703

4215 Burns Rd
Ste 260
Palm Beach Gardens, FL 33410

295 NW Peacock Blvd
Port St Lucie, FL 34986

3657 Madaca Ln
Tampa, FL 33618

3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784

3810 Northdale Blvd
Ste 260
Tampa, FL 33624

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

Interoperability endpoints

  • Direct secure messaging: desiree.clarke@uvvc.eclinicaldirectplus.com

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, 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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1568423168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "630-725-2730",
            "fax_number": "844-205-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 10TH AVE N STE 101",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616609",
            "telephone_number": "800-991-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "DESIREE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME151858",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME151858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.