JUAN ALFREDO CACERES NOGUERA (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1457798290
Neurology with Special Qualifications in Child Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
704 NEUROLOGY in VA
Provider Addresses for JUAN ALFREDO CACERES NOGUERA (M.D.)
3023 Hamaker Ct Ste 300
Fairfax, VA 220312240
Phone: (703) 876-2788
Fax: (571) 405-5720
Type: Location
3300 Gallows Rd
Falls Church, VA 220423300
Phone: (703) 776-4001
Fax: (703) 776-4001
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Fax: (507) 284-2511
Type: Mailing
2401 W BELVEDERE AVE
BALTIMORE, MD 212155216
Phone: (410) 601-8300
Fax: (410) 601-8227
Type: Location
11123 Parkview Plaza Dr Ste 201
Fort Wayne, IN 468451707
Phone: (260) 266-5400
Fax: (260) 425-5165
Type: Location
716 N BROADWAY STE 139
BALTIMORE, MD 212051806
Phone: (667) 205-4163
Type: Mailing
801 N BROADWAY
BALTIMORE, MD 212051424
Phone: (443) 923-9400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190826001522 | I | Pediatric Medicine | MD | TBD |
| I20260302000730 | I | Neurology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22031)
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