Individual provider Active NPI

Damani McIntosh-Clarke

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1891342291
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036171865 Issued in IL
Practice address
1830 E Monument St Ste 6-100
Baltimore, MD 21287-0020
Phone
(774) 284-2672
NPI assigned
Aug 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 036171865 IL Primary
Emergency Medicine Physician 207P00000X MD-53503 IA
Emergency Medicine Physician 207P00000X 2025037554 MO
Emergency Medicine Physician 207P00000X 01094468A IN

Addresses

Primary practice location

1830 E Monument St Ste 6-100
Baltimore, MD 21287-0020

Mailing address

707 N Wayne St Apt 204
Arlington, VA 22201-1863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO, IN, IL4 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
I20240903003012 IA Practitioner - Emergency Medicine 7012456163 Reassigns benefits to 1 organization
I20251007001888 MO Practitioner - Emergency Medicine 7012456163 Reassigns benefits to 1 organization
I20251014003370 IN Practitioner - Emergency Medicine 7012456163 Reassigns benefits to 1 organization
I20251210001228 IL Practitioner - Emergency Medicine 7012456163 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-53503IAMDEmergency Medicine Physician
036171865ILMDEmergency Medicine Physician
01094468AINMDEmergency Medicine Physician
2025037554MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 4, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 4, 2025 Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Aug 8, 2024 Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Aug 8, 2024 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

Interoperability endpoints

  • Direct secure messaging: dmcintoshclarke495568@ewd.direct.hshs.org

Organizations & group practices 26

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 26

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLC 995 clinicians
Cepamerica Illinois LLP 492 clinicians

Practice addresses (Care Compare)

100 Medical PLZ
Lake Saint Louis, MO 63367-1366
Phone (636) 625-5200

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966

301 Henry St
North Vernon, IN 47265-1030
Phone (812) 352-4200

Hospital & facility affiliations

  • Schneck Medical Center Hospital, Seymour, IN, CCN 150065
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • St Marys Hospital Hospital, Decatur, IL, CCN 140166
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1891342291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N WAYNE ST APT 204",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E MONUMENT ST STE 6-100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870020",
            "telephone_number": "774-284-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH-CLARKE",
        "first_name": "DAMANI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036171865",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-53503",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2025037554",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01094468A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.