Individual provider Active NPI

Juvianee Ibrahim Estrada-Veras, M.D.

  • Pediatrics Physician
  • Bethesda, MD
National Provider Identifier
1033425004
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0082582 Issued in MD
Practice address
4954 N Palmer Rd BLDG 19
MCC, 3Rd Floor, Room 3186
Bethesda, MD 20889-5630
Phone
(301) 295-4951
Fax
(301) 319-4757
NPI assigned
Aug 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Biochemical Genetics 207SG0207X D0082582 MD
Pediatrics Physician 208000000X D0082582 MD Primary

Addresses

Primary practice location

4954 N Palmer Rd BLDG 19
MCC, 3Rd Floor, Room 3186
Bethesda, MD 20889-5630

Mailing address

4954 N Palmer Rd BLDG 19
MCC, 3Rd Floor, Room 3186
Bethesda, MD 20889-5630
Phone (301) 295-4951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170203001371 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2961785613

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0082582MDMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1033425004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 N PALMER RD BLDG 19",
            "address_2": "MCC, 3RD FLOOR, ROOM 3186",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895630",
            "telephone_number": "301-295-4951",
            "fax_number": "301-319-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 N PALMER RD BLDG 19",
            "address_2": "MCC, 3RD FLOOR, ROOM 3186",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895630",
            "telephone_number": "301-295-4951",
            "fax_number": "301-319-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA-VERAS",
        "first_name": "JUVIANEE",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0207X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Medical Biochemical Genetics",
            "state": "MD",
            "license": "D0082582",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0082582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.