Individual provider Active NPI

Michelle Juaneza, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1396746335
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0053641 Issued in MD
Practice address
301 Eastern Blvd.
Suite B
Baltimore, MD 21221-6921
Phone
(410) 238-2200
Fax
(410) 238-2355
NPI assigned
Aug 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0053641 MD Primary

Addresses

Primary practice location

301 Eastern Blvd.
Suite B
Baltimore, MD 21221-6921

Mailing address

301 Eastern Blvd.
Suite B
Baltimore, MD 21221-6921
Phone (410) 238-2200

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
I20141211000119 MD Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2567351018

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396746335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EASTERN BLVD.",
            "address_2": "SUITE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212216921",
            "telephone_number": "410-238-2200",
            "fax_number": "410-238-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EASTERN BLVD.",
            "address_2": "SUITE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212216921",
            "telephone_number": "410-238-2200",
            "fax_number": "410-238-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUANEZA",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0053641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.