Carlos Cuenca, MD – Pediatrics Physician

Key facts

NPI: 1386748655
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: D47954 (MD)
Practice address: 1000 E Eager St
Baltimore, MD 21202
Phone: (410) 522-9800
NPI assigned: Sep 8, 2006
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Johns Hopkins Community Physicians, Inc Internal Medicine Physician · Baltimore, MD · NPI 1578598868

Medicare reassignment NPD MD · PEDIATRICS
Johns Hopkins Community Physicians Clinical Social Worker · Baltimore, MD · NPI 1356161806

NPD
Johns Hopkins Community Physicians, Inc Family Medicine Physician · Baltimore, MD · NPI 1770518003

NPD
Johns Hopkins Community Physicians, Inc. Internal Medicine Physician · Baltimore, MD · NPI 1467639260

NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20101026001424	MD	Practitioner - Pediatric Medicine	2860686557	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Johns Hopkins Community Physicians, Inc		Current since Jun 29, 2010	Accepting new patients
Johns Hopkins Community Physicians		Current since Jun 29, 2010	Accepting new patients
Johns Hopkins Community Physicians, Inc	Pediatrics	Current	Accepting new patients
Johns Hopkins Community Physicians, Inc.	Pediatrics	Past	Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

3100 Wyman Park Dr
Ste 359A
Baltimore, MD 21211
Phone (410) 338-3016

Interoperability endpoints

Direct secure messaging: ccuenca6814@direct.hopkinsmedicine.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	D47954	MD	Yes

Addresses

Primary practice location

1000 E Eager St
Baltimore, MD 21202

Mailing address

3100 Wyman Park Drive
Suite 359a
Baltimore, MD 21211
Phone (410) 338-3016

Other identifiers

Identifier	Type	State	Issuer
3160009000	Medicaid	MD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 31, 2012.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1386748655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WYMAN PARK DRIVE",
            "address_2": "SUITE 359A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21211",
            "telephone_number": "410-338-3016",
            "fax_number": "410-338-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E EAGER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-522-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUENCA",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D47954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3160009000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

All providers in Baltimore, MD · Pediatrics Physician in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.