Active NPI
Juan Alfredo Caceres Noguera, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- D87545
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01098753A | IN | MD | Neurology with Special Qualifications in Child Neurology Physician |
| D87545 | MD | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 0101282378 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Parkview Health System Inc | Current | Accepting new patients | |
| Kennedy Krieger Associates | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| University of Maryland Pediatric Associates, PA | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Kennedy Krieger Associates | Current | Accepting new patients | |
| University of Maryland Pediatric Associates, PA | Current | Accepting new patients | |
| Johns Hopkins University | Current | 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
- jcaceresnoguera39272@direct.kennedykrieger.org
- jcaceresnoguera281481@direct.hopkinsmedicine.org
- 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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Baltimore, MD
- NPI 1508108879
MD, Neurology With Special Qualifications in Child Neurology
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1528163912
MD
-
- Neurology Physician
- Baltimore, MD
- NPI 1356346100
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Pediatrics Physician
- Middle River, MD
- NPI 1841009842
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1083933444
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.