NPIMap

Individual provider Active NPI

Anna Maria Izquierdo-Porrera, M.D PHD

  • Geriatric Medicine (Internal Medicine) Physician
  • Silver Spring, MD
National Provider Identifier
1033281910
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D0061299 Issued in MD
Practice address
11120 New Hampshire Ave Ste 509
Silver Spring, MD 20904-2618
Phone
(240) 844-2552
Fax
(844) 423-7397
NPI assigned
Nov 15, 2006
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D0061299 MD Primary

Addresses

Primary practice location

11120 New Hampshire Ave Ste 509
Silver Spring, MD 20904-2618

Mailing address

11120 New Hampshire Ave Ste 509
Silver Spring, MD 20904-2618
Phone (240) 844-2552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070929000151 MD Practitioner - Geriatric MedicinePractitioner - Internal Medicine 3971698358 Reassigns benefits to 1 organization
I20100712000300 DC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3971698358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Care for Your Health, IncGroup PAC ID 1355509159, 2 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

11120 New Hampshire Ave
Suite 509
Silver Spring, MD 20904-2618
Phone (240) 844-2552

560 Riverside Dr
Salisbury, MD 21801-4700
Phone (410) 543-7354

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
D0061299MDMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Specialty Care, LLC CurrentSince Jun 30, 2025 Accepting new patients
Pastoral Family Counseling Associates LLC CurrentSince May 30, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

13925 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 844-2552

Interoperability endpoints

  • Direct secure messaging: annamaria.izquierdoporrera@c4yh.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBGFBD/Endpoint/HBGFBD

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1033281910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 509",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042618",
            "telephone_number": "240-844-2552",
            "fax_number": "877-684-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 509",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042618",
            "telephone_number": "240-844-2552",
            "fax_number": "844-423-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO-PORRERA",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0061299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.