Individual provider Active NPI

Daryl Deandre McClendon, D.O

  • Family Medicine Physician
  • Fitchburg, MA
National Provider Identifier
1568795359
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53889 Issued in CT
Practice address
326 Nichols Rd
Fitchburg, MA 01420-1914
Phone
(978) 878-8100
Fax
(978) 878-8535
NPI assigned
Sep 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53889 CT Primary
Family Medicine Physician 207Q00000X 254774 NY

Addresses

Primary practice location

326 Nichols Rd
Fitchburg, MA 01420-1914

Mailing address

326 Nichols Road
Community Health Connections
Fitchburg, MA 01420
Phone (978) 878-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20091105000599 NY Practitioner - Family Practice 8729126099 Reassigns benefits to 4 organizations
I20180502001833 CT Practitioner - Family Practice 8729126099 Reassigns benefits to 1 organization
I20251205002158 MA Practitioner - Family Practice 8729126099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Community Health Connections, IncGroup PAC ID 8729074992, 91 clinicians
Nova Physician Group PLLCGroup PAC ID 7810428166, 10 clinicians

Practice addresses (Care Compare)

130 Water St
Fitchburg, MA 01420-5478
Phone (978) 878-8110

165 Mill St
Leominster, MA 01453-3289
Phone (978) 878-8100

175 Connors St
Gardner, MA 01440-2637
Phone (978) 410-6100

2000 N Main St
Suite a
Waterbury, CT 06704-2364
Phone (203) 951-8306

326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100

529 Timpany Blvd
Gardner, MA 01440-3451
Phone (978) 878-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254774NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Connections, Inc. Current Accepting new patients
Advantagecare Physicians PC Family Medicine CurrentSince Aug 17, 2020 Accepting new patients
Brownsville Community Development Corporation CurrentSince Mar 1, 2023 Accepting new patients
Middletown Medical PC CurrentSince Sep 15, 2023 Accepting new patients
Port City Emergency Physicians LLP CurrentSince Jan 23, 2023 Accepting new patients
Community Health Connections, Inc. CurrentSince Nov 25, 2025 Accepting new patients
Nova Physician Group PLLC CurrentSince Oct 27, 2025 Accepting new patients
Brownsville Community Development Corporation CurrentSince Mar 1, 2023 Accepting new patients
Port City Emergency Physicians LLP CurrentSince Jan 23, 2023 Accepting new patients
Middletown Medical PC Family Medicine CurrentSince Sep 15, 2023 Accepting new patients
Advantagecare Physicians PC CurrentSince Aug 17, 2020 Accepting new patients
Catskill Regional Medical Center Family Medicine Past Accepting new patients
Community Health Connections, Inc. Past Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

2000 N Main St
#A
Waterbury, CT 06704
Phone (203) 951-8306

130 Water St
Ste 4
Fitchburg, MA 01420
Phone (978) 868-9944

326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270

175 Connors St
Gardner, MA 01440
Phone (978) 410-6100

529 Timpany Blvd
Gardner, MA 01440
Phone (978) 400-3031

165 Mill St
Leominster, MA 01453
Phone (978) 466-3208

650 Ashford St
Brooklyn, NY 11207
Phone (347) 505-1800

592 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 345-5000

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

510 S 4th St
Ste 2
Fulton, NY 13069
Phone (315) 592-3510

111 Maltese Dr
Middletown, NY 10940

570 Grand St
New York, NY 10002
Phone (212) 254-7301

55 Water St
Fl 2
New York, NY 10041

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1568795359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 NICHOLS ROAD",
            "address_2": "COMMUNITY HEALTH CONNECTIONS",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-878-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201914",
            "telephone_number": "978-878-8100",
            "fax_number": "978-878-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "DARYL",
        "middle_name": "DEANDRE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "53889",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "254774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.