DAWN H CLANCY (MD) – Internal Medicine Physician, NPI 1376651224

DAWN H CLANCY (MD) is a healthcare provider. based in Miramar, Florida. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 13111 (SC). The NPI Number for DAWN H CLANCY (MD) is 1376651224

Main info

Female
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DAWN H CLANCY (MD)
NPI
1376651224
Phone
(877) 866-7123
Address
3601 SW 160TH AVE STE 250
Enumeration Date
29 August 2006
Last Update Date
28 March 2019

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
8438873929
Graduation Year
1985 (41 years ago)
PAC ID
2860599115
Group Practice PAC ID
1658280334
Professional Enrollment ID
I20070521000451
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DAWN H CLANCY (MD)

  • Southwest 160th Avenue, Miramar, Broward County, Florida, United States

    MIRAMAR, FL 330276314

    Phone: (877) 866-7123

    Fax: (843) 769-8216

    Mailing address matches the actual address.

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: 2007-05-21

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
I20070521000451IInternal MedicineSCTBD

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 33027)

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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: 1658280334View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineSC
P S Y C H I A T R YSC
-SC
Family PracticeSC
Nurse PractitionerSC
Nurse PractitionerSC
-ME
Nurse PractitionerSC
General PracticeSC
Family PracticeSC

Reviews

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Frequently asked questions

Can I verify DAWN H CLANCY (MD) with an NPI only?
You can start verification with NPI 1376651224 for DAWN H CLANCY (MD), then check state licensing separately.
Can I rely on DAWN H CLANCY (MD) being an active provider?
As of the registry snapshot, DAWN H CLANCY (MD) is marked active.
What is DAWN H CLANCY (MD)'s specialty?
The listing groups DAWN H CLANCY (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DAWN H CLANCY (MD) on a map?
Expect Miramar, Florida as a primary anchor for DAWN H CLANCY (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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