Douglas E Claybrook, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

01029167A Issued in IN

Practice address

221 S 6TH St
Terre Haute, IN 47807-4214

Phone

(812) 242-3130

Fax

(812) 242-3596

NPI assigned

Aug 23, 2006

Last updated

Aug 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Urology

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Urology, P.a.Group PAC ID 4082502547, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Surgical Hospital Hospital, No Little Rock, AR, CCN 040147

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglas.claybrook.1@10448.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10448/brand/1/csg/1/fhir/r4

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.

• Arkansas Urology, P.a.

  • Urology Physician
  • Little Rock, AR
  • NPI 1093720443
  Medicare reassignment Care Compare group NPD
• Associated Physicians & Surgeons Clinic, LLC

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1679680672
  NPD (past)
• Associated Physicians & Surgeons Clinic, LLC

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1962586198
  NPD (past)

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

• Arkansas Surgical Hospital, LLC

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1942260609
  Care Compare affiliation

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1932216231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3130",
            "fax_number": "812-242-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3130",
            "fax_number": "812-242-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBROOK",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01029167A",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "36089198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000089642",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100250650",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE PALAMETTO",
            "identifier": "340009242",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100250650U",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE PALAMETTO",
            "identifier": "340009236",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00828496",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malia Clark
• Patricia Clark
• Ella Rose Marie Clarke
• India Clay
• Jamie Clay
• Charles Claycomb, PHARMD
• Holly Clem, RBT
• Daniel Cleveland, PHARM.D.
• Leeghan Clifford
• Ann Clifton, RBT

• Urology Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Urology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.

Verify at the official NPI Registry.