Active NPI
Damani McIntosh-Clarke
- Emergency Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036171865
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD-53503 | IA | MD | Emergency Medicine Physician |
| 036171865 | IL | MD | Emergency Medicine Physician |
| 01094468A | IN | MD | Emergency Medicine Physician |
| 2025037554 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Vituity-Iowa PLLC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Iowa PLLC | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1821434002
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1073914396
-
- Emergency Medicine Physician
- Wilmington, DE
- NPI 1104703461
-
- Emergency Medicine Physician
- Lithonia, GA
- NPI 1124073721
-
- Emergency Medicine Physician
- El Paso, TX
- NPI 1134761331
-
- Emergency Medicine Physician
- Simpsonville, SC
- NPI 1255170361
-
- Emergency Medicine Physician
- Edmonds, WA
- NPI 1447484274
-
- Emergency Medicine Physician
- Marysville, OH
- NPI 1497634372
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
Hospital
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
Hospital
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 LLCCepamerica Illinois LLP
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
- Union Hospital Inc
- St Marys Hospital
- Genesis Medical Center-Davenport
- SSM St Joseph Hospital West
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.