Active NPI
Juyeon Kakazu
- General Practice Physician
- Bethesda, MD
National Provider Identifier
1972291847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101286245
- Practice address
- Walter Reed National Military Medical Center
8901 Wisconsin Avenue
Bethesda, MD 20889 - Phone
- (808) 351-2379
- NPI assigned
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101286245 | VA | Primary |
Addresses
Primary practice location
Walter Reed National Military Medical Center
8901 Wisconsin Avenue
Bethesda, MD 20889
Mailing address
Walter Reed National Military Medical Center
8901 Wisconsin Avenue
Bethesda, MD 20889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101286245 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1972291847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
"address_2": "8901 WISCONSIN AVENUE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
"address_2": "8901 WISCONSIN AVENUE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20889",
"telephone_number": "808-351-2379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKAZU",
"first_name": "JUYEON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-27",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101286245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.