Sammir Perez Sanjuanelo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

271399 Issued in NY

Practice address

6103 Baltimore Ave Ste T1
Riverdale, MD 20737-1966

Phone

(301) 277-2779

Fax

(301) 277-6947

NPI assigned

May 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riverdale Park Pediatrics PC

  • Pediatrics Physician
  • Riverdale, MD
  • NPI 1013386846
  NPD
• Riverdale Park Pediatrics PC

  dba Riverdale Park Pediatrics PC at Glen Burnie

  • Pediatric Adolescent Medicine Physician
  • Glen Burnie, MD
  • NPI 1427887173
  NPD
• Edwin F. Aguilar, M.D., P.C.

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1124313499
  NPD (past)
• Fort Washington Park Pediatrics P.C.

  • Pediatrics Physician
  • Rosedale, MD
  • NPI 1023558384
  NPD (past)
• Waldorf Pediatrics

  • Pediatrics Physician
  • White Plains, MD
  • NPI 1710237037
  NPD (past)

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1326485764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 BALTIMORE AVE STE T1",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371966",
            "telephone_number": "301-277-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 BALTIMORE AVE STE T1",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371966",
            "telephone_number": "301-277-2779",
            "fax_number": "301-277-6947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12807 Old Fort Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207442876",
            "country_code": "US",
            "telephone_number": "301-292-7400",
            "fax_number": "301-292-7062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4255 Altamont Pl Ste 301",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953082",
            "country_code": "US",
            "telephone_number": "301-645-1781",
            "fax_number": "301-374-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615802",
            "country_code": "US",
            "telephone_number": "410-768-8525",
            "fax_number": "410-768-9757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ SANJUANELO",
        "first_name": "SAMMIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "271399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "1209422",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "FTX6EF65039006",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "082399600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CREFIRST",
            "identifier": "F4890001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Parambi, M.D.
• Eunhyae Park, DDS
• Sarah Kilsoon Park, DDS
• Patient Care Jobfinders (Patient Care Services)
• Julene Tina Pena, O.D., F.A.A.O.
• Gail Ann Petersen, O.D.
• PG County Endoscopy Center LLC
• Mariana Polanco Alvarez
• Jeri Price
• Professional Home Care of Maryland Inc

• Pediatrics Physician in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.