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NPI · 1477816601 · NPPES-sourced

Dr. Desra Clark D.O.

ActiveAdult Medicine Physician
NPI Number
1477816601
Type 1 · Individual
Taxonomy Code
207QA0505X
Contact
(321) 877-2740
License FL · OS12364
Last Updated
Enumerated
Primary practice addressFL · 32927-5020
7227 N US Highway 1Cocoa, FL 32927-5020
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Also known as

  • Formerly known asKiely, Desra Kay

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1477816601 is registered to Dr. Desra Clark D.O., a Adult Medicine Physician practising at 7227 N US Highway 1 in Cocoa, Florida. Adult Medicine Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Desra Clark D.O. has been enumerated in the National Provider Identifier (NPI) registry since 2012.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Desra Clark D.O. accepts. To confirm in-network status with your specific health plan, contact Dr. Desra Clark D.O. directly at (321) 877-2740.

Frequently asked

Yes. NPI 1477816601 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Adult Medicine Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (321) 877-2740.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Desra Clark D.O. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207QA0505X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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3 records · same addressOther providers at this location.

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Same specialtyOther Adult Medicine Physician providers in Florida.

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