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DR. EMMALYN CRUZ DE CLARO M.D.
NPI 1053435990
Pediatrics in Gaithersburg, MD

Active since March 17, 2007PECOS Enrolled
200 GIRARD ST STE 100, GAITHERSBURG, MD 20877(301) 216-0880(301) 216-2891 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2026, Oct 21, 2016 (2 updates tracked since 2016).

About Dr. Emmalyn Cruz De Claro M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMMALYN CRUZ DE CLARO M.D. (NPI 1053435990) is an individual pediatrics provider in Gaithersburg, Maryland, licensed in Maryland (D0071013) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053435990
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. EMMALYN CRUZ DE CLAROCredential: M.D.
Location Address200 GIRARD ST STE 100Gaithersburg, MD 20877-3466
Mailing Address200 Girard St, Suite 212-aGaithersburg, MD 20877-3466 · (301) 216-0880 · Fax (301) 216-2891
Phone(301) 216-0880
Fax(301) 216-2891
Sole ProprietorYes
Enumeration DateMarch 17, 2007
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1053435990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D0071013
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 GIRARD ST STE 100, Gaithersburg, MD 20877
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emmalyn Cruz De Claro M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emmalyn De Claro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Clinic, Inc.
15 mi
Federally Qualified Health Center (FQHC)
7676 NEW HAMPSHIRE AVE STE 220A
Takoma Park, MD 20912
  • Reassigned Medicare billing, District of Columbia enrollment
  • 72 clinicians in this Medicare group
NPI 1790730281 (301) 431-2972

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20877 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmalyn De Claro's NPI number?

The NPI number for Emmalyn De Claro is 1053435990. It was assigned to this individual provider in the NPPES registry on March 17, 2007.

Where is Emmalyn De Claro located?

Emmalyn De Claro practices at 200 Girard St Ste 100, Gaithersburg, MD 20877. The listed phone number is (301) 216-0880.

What is Emmalyn De Claro's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Emmalyn De Claro enrolled in Medicare?

Yes. Emmalyn De Claro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emmalyn De Claro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emmalyn De Claro reassigns Medicare benefits to Community Clinic, Inc. (Takoma Park, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emmalyn De Claro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emmalyn De Claro was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.