Active NPI
Daniel H Clarke, M.D.
- Therapeutic Radiology Physician
- Silver Spring, MD
National Provider Identifier
1891759817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- D0063803
- Practice address
- 2121 Medical Park Dr
Suite 4
Silver Spring, MD 20902-4054 - Phone
- (301) 681-4422
- Fax
- (301) 681-1684
- NPI assigned
- Apr 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | D0063803 | MD | Primary |
| Therapeutic Radiology Physician | 2085R0203X | 0101046018 | VA |
Addresses
Primary practice location
2121 Medical Park Dr
Suite 4
Silver Spring, MD 20902-4054
Mailing address
PO Box 418837
Boston, MA 02241-8837
Phone (888) 846-5527
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1172517 | Other | MD | AETNA HMO |
| 60332702 | Other | MD | CAREFIRST BC/BS |
| 158895 | Other | MD | PHCS |
| 219441401 | Medicaid | MD | |
| 296135 | Other | MD | AMERIGROUP |
| 1620115 | Other | MD | CIGNA |
| 2906-0016 | Other | DC | CAREFIRST BC/BS |
| 4828 | Other | MD | ELDER HEALTH |
| 037461100 | Medicaid | DC | |
| 4230117 | Other | MD | AETNA PPO |
| 503862 | Other | MD | NATIONAL CAPITOL PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0063803 | MD | MD | Therapeutic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Radiation Oncology PC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Radiation Oncology Physician
- Alexandria, VA
- NPI 1457458598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1891759817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 418837",
"city": "BOSTON",
"state": "MA",
"postal_code": "022418837",
"telephone_number": "888-846-5527",
"fax_number": "607-324-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MEDICAL PARK DR",
"address_2": "SUITE 4",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209024054",
"telephone_number": "301-681-4422",
"fax_number": "301-681-1684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "DANIEL",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "MD",
"license": "D0063803",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "VA",
"license": "0101046018",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1172517",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "60332702",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "158895",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219441401",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "296135",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1620115",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "2906-0016",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDER HEALTH",
"identifier": "4828",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037461100",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4230117",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CAPITOL PPO",
"identifier": "503862",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.