Individual provider Active NPI

Juan Sanfuentes, D.O.

  • Emergency Medicine Physician
  • Bethesda, MD
National Provider Identifier
1699932392
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
75437 Issued in MD
Practice address
4494 Palmer Road N
Bethesda, MD 20814
Phone
(301) 295-4810
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT012256 PA
Emergency Medicine Physician 207P00000X 75437 MD Primary

Addresses

Primary practice location

4494 Palmer Road N
Bethesda, MD 20814

Mailing address

3309 Edgewood Rd
Kensington, MD 20895-2907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 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
I20120914000629 VA Practitioner - Emergency Medicine 8820266786 Reassigns benefits to 1 organization
I20121004000362 DC Practitioner - Emergency Medicine 8820266786 Reassigns benefits to 4 organizations
I20130625000204 MD Practitioner - Emergency Medicine 8820266786 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2794WVMDGeneral Practice Dentistry
75437MDMDEmergency Medicine Physician
OT012256PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Dec 10, 2020 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince May 20, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Sep 1, 2012 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Sep 1, 2012 Accepting new patients
Bethesda Emergency Associates LLC Emergency Medicine CurrentSince Nov 19, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2012 Accepting new patients

Locations

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

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

20010 Century Blvd
Ste 200
Germantown, MD 20874

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: jsanfuentes136547@direct.hopkinsmedicine.org
  • Direct secure messaging: jsanfuentes174688@direct.aahs.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1699932392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 EDGEWOOD RD",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 PALMER ROAD N",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-295-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFUENTES",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT012256",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "75437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.