Individual provider Active NPI

Juan Alfredo Caceres Noguera, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Baltimore, MD
National Provider Identifier
1457798290
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
D87545 Issued in MD
Practice address
801 N Broadway
Baltimore, MD 21205-1424
Phone
(443) 923-9400
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 01098753A IN
Psychiatry Physician 2084P0800X 0101282378 VA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X D87545 MD Primary

Addresses

Primary practice location

801 N Broadway
Baltimore, MD 21205-1424

Mailing address

716 N Broadway Ste 139
Baltimore, MD 21205-1806
Phone (667) 205-4163

Other practice location 1

3023 Hamaker Ct Ste 300
Fairfax, VA 22031-2240
Phone (703) 876-2788

Other practice location 2

11123 Parkview Plaza Dr Ste 201
Fort Wayne, IN 46845-1707
Phone (260) 266-5400

Other practice location 3

3300 Gallows Rd
Falls Church, VA 22042-3300
Phone (703) 776-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IN, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190826001522 MD Practitioner - Pediatric Medicine 2961710413 Reassigns benefits to 4 organizations
I20260302000730 IN Practitioner - Neurology 2961710413 Reassigns benefits to 1 organization
I20260504006442 DC Practitioner - Neurology 2961710413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11109 Parkview Plaza Dr
Suite 117
Fort Wayne, IN 46845-1701

8095 Innovation Park Dr
Fairfax, VA 22031-4868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01098753AINMDNeurology with Special Qualifications in Child Neurology Physician
D87545MDMDNeurology with Special Qualifications in Child Neurology Physician
0101282378VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Parkview Health System Inc CurrentSince Jan 24, 2026 Accepting new patients
Kennedy Krieger Associates CurrentSince Jul 12, 2022 Accepting new patients
Sinai Hospital of Baltimore, Inc Neurology With Special Qualifications in Child Neurology CurrentSince Jul 3, 2019 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 3, 2019 Accepting new patients
University of Maryland Pediatric Associates, PA CurrentSince Jan 18, 2021 Accepting new patients
Johns Hopkins University CurrentSince Dec 28, 2022 Accepting new patients
Kennedy Krieger Associates CurrentSince Jul 12, 2022 Accepting new patients
University of Maryland Pediatric Associates, PA CurrentSince Jan 18, 2021 Accepting new patients
Johns Hopkins University CurrentSince Dec 28, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11123 Parkview Plaza Dr
Ste 201
Fort Wayne, IN 46845
Phone (260) 266-8392

707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441

5051 Greenspring Ave
Ste 202
Baltimore, MD 21209

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

801 N Broadway
Baltimore, MD 21205
Phone (443) 923-2600

716 N Broadway
Ste 139
Baltimore, MD 21205

2401 W Belvedere Ave
Baltimore, MD 21215

600 N Wolfe St
Baltimore, MD 21287

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

Interoperability endpoints

  • Direct secure messaging: jcaceresnoguera39272@direct.kennedykrieger.org
  • Direct secure messaging: jcaceresnoguera281481@direct.hopkinsmedicine.org
  • Direct secure messaging: jcaceresnoguera1440780@soc.inova.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1457798290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N BROADWAY STE 139",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051806",
            "telephone_number": "667-205-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051424",
            "telephone_number": "443-923-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3023 Hamaker Ct Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312240",
            "country_code": "US",
            "telephone_number": "703-876-2788",
            "fax_number": "571-405-5720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11123 Parkview Plaza Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451707",
            "country_code": "US",
            "telephone_number": "260-266-5400",
            "fax_number": "260-425-5165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423300",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CACERES NOGUERA",
        "first_name": "JUAN",
        "middle_name": "ALFREDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IN",
            "license": "01098753A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101282378",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MD",
            "license": "D87545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.