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JACQUELYN MANFREDO
NPI 1922461714
Pediatrics - Pediatric Endocrinology in Baltimore, MD

Active since March 30, 2016PECOS Enrolled
200 N WOLFE ST, BALTIMORE, MD 21287(703) 728-3525 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 1, 2023, Aug 31, 2019, Mar 30, 2016 (3 updates tracked since 2016).

About Jacquelyn Manfredo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN MANFREDO (NPI 1922461714) is an individual pediatric endocrinology provider in Baltimore, Maryland, licensed in Maryland (D87381) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1922461714
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameJACQUELYN MANFREDO
Location Address200 N WOLFE STBaltimore, MD 21287-0011
Mailing Address200 N Wolfe StBaltimore, MD 21287-0011
Phone(703) 728-3525
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 30, 2016
Last NPPES UpdateMarch 1, 20233 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1922461714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in MD · D87381
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
200 N WOLFE ST, Baltimore, MD 21287
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Manfredo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527355932
PECOS Enrollment IDI20220528000282
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIANA M PERRIN MD
Pediatrics
200 N WOLFE ST, RUBENSTEIN 2071
BALTIMORE, MD 21287
Baltimore City (410) 614-3865
DR. ALEXANDER S GOLEC MD
Pediatrics (Adolescent Medicine)
200 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-2910
LORILYN THERESE RUSSELL RD
Dietitian, Registered
200 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (631) 741-1652
JOHNS HOPKINS UNIVERSITY
Pediatrics
200 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 997-5437
DR. SHRUTI M PARANJAPE MD
Pediatrics (Pediatric Pulmonology)
200 N WOLFE ST, JOHNS HOPKINS UNIVERSITY
BALTIMORE, MD 21287
Baltimore City (410) 614-5637
DR. HELEN KINSMAN HUGHES M.D.
Pediatrics
200 N WOLFE ST, HARRIET LANE CLINIC
BALTIMORE, MD 21287
Baltimore City (410) 955-5710
DR. EVA MICHELE MOORE MD
Pediatrics (Adolescent Medicine)
200 N WOLFE ST, SUITE 2083
BALTIMORE, MD 21287
Baltimore City (443) 287-3974
ANNA C SICK-SAMUELS
Pediatrics
200 N WOLFE ST, ROOM 3150
BALTIMORE, MD 21287
Baltimore City (410) 614-3917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Manfredo's NPI number?

The NPI number for Jacquelyn Manfredo is 1922461714. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Jacquelyn Manfredo located?

Jacquelyn Manfredo practices at 200 N Wolfe St, Baltimore, MD 21287. The listed phone number is (703) 728-3525.

What is Jacquelyn Manfredo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Jacquelyn Manfredo enrolled in Medicare?

Yes. Jacquelyn Manfredo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Manfredo was last updated on March 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.