Maria Belen R San Juan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MS057576 Issued in MI

Practice address

4200 Whitehall Dr
Suite 130
Ann Arbor, MI 48105-9694

Phone

(734) 995-0303

Fax

(734) 995-0425

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: msanjuan383172@direct.hfhs.org

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.

• CH MSSP Services Mi PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1609569169
  Medicare reassignment NPD
• Curana Health of Michigan PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1659921278
  Medicare reassignment NPD
• Brighton Family Physicians PC

  • Family Medicine Physician
  • Brighton, MI
  • NPI 1649278748
  Medicare reassignment
• Healthy Urgent Care

  • Urgent Care Clinic/Center
  • W Bloomfield, MI
  • NPI 1730531914

  Family Medicine

  NPD (past)
• Wellstreet Urgent Care of Michigan

  • Non-Pharmacy Dispensing Site
  • Troy, MI
  • NPI 1649952052
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1437128253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W GRAND RIVER AVE",
            "address_2": "STE 200",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161659",
            "telephone_number": "734-995-0303",
            "fax_number": "734-995-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WHITEHALL DR",
            "address_2": "SUITE 130",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059694",
            "telephone_number": "734-995-0303",
            "fax_number": "734-995-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN JUAN",
        "first_name": "MARIA BELEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MS057576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michal Samuel, MSW MA
• Shani Samuel, LLMSW
• Kiela M Samuels, PHARM.D.
• Stuart E Samuels, MD, PHD
• Juan Diego San Juan, MD
• Eilyn Patricia Sanabria
• Daniel George Sanborn, CRNA
• Rocio Elizabeth Sanchez Padilla, DDS, MS
• Stefani Sanchez-Garcia
• Angela Maria Sanchez, MD

• Family Medicine Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.