TANYA CLARKE (M.D) – Internal Medicine Physician, NPI 1275999880

TANYA CLARKE (M.D) is a healthcare provider. based in Lauderdale lakes, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. ME126173 (FL). The NPI Number for TANYA CLARKE (M.D) is 1275999880

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
TANYA CLARKE (M.D)
NPI
1275999880
Phone
(954) 714-1264
Address
2589 N STATE ROAD 7 # KIN5100
Enumeration Date
12 January 2016
Last Update Date
17 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8503255000
Graduation Year
1998 (28 years ago)
PAC ID
7214235241
Group Practice PAC ID
7012201965
Professional Enrollment ID
I20160407001148
Address ID
FL323084402TA2626XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for TANYA CLARKE (M.D)

  • 2589 N STATE ROAD 7 # KIN5100

    LAUDERDALE LAKES, FL 333132778

    Phone: (954) 714-1264

    Fax: (954) 320-7142

    Type: Location

  • Northwest 7th Street, Miami, Miami-Dade County, Florida, 33126, United States

    KIN 5100

    MIAMI, FL 33126

    Phone: (876) 418-3412

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160407001148IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33313)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012201965View full group profile
NameSpecialtyState
Internal MedicineFL
-FL
-OH
Internal MedicineFL
Family Practice, Emergency Medicine, HospitalistFL
Family PracticeFL
Family PracticePA
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

Does TANYA CLARKE (M.D) have a public NPI I can cite?
Public records show TANYA CLARKE (M.D) under NPI 1275999880.
Should I treat TANYA CLARKE (M.D) as an active provider?
Patients and plans typically see TANYA CLARKE (M.D) as active in the national extract.
Which specialty label fits TANYA CLARKE (M.D)?
NPPES ties TANYA CLARKE (M.D) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is TANYA CLARKE (M.D) tied to Lauderdale Lakes, Florida?
If you are local to Lauderdale Lakes, Florida, TANYA CLARKE (M.D) may be relevant to your search.
Who maintains TANYA CLARKE (M.D)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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