NPIMap

Individual provider Active NPI

Jun Ungos Elegino, DO

  • Surgery Physician
  • North Kansas City, MO
National Provider Identifier
1255644456
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2022049454 Issued in MO
Practice address
2750 Clay Edwards Dr Ste 312
North Kansas City, MO 64116-3256
Phone
(816) 453-4000
Fax
(816) 842-1486
NPI assigned
Jul 16, 2010
Last updated
May 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2022049454 MO Primary
Surgical Critical Care Physician 2086S0102X 2022049454 MO
Trauma Surgery Physician 2086S0127X 2022049454 MO

Addresses

Primary practice location

2750 Clay Edwards Dr Ste 312
North Kansas City, MO 64116-3256

Mailing address

9411 N Oak Trfy Ste LL1
Kansas City, MO 64155-2262
Phone (816) 691-1655

Other practice location 1

11600 W 2nd Pl
Surgical Residency Program
Lakewood, CO 80228-1527
Phone (720) 321-0627

Other names 1

  • Mr. Jun Ungos Elegino Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230810002851 MO Practitioner - General Surgery 4981066792 Reassigns benefits to 1 organization
I20240812002948 CO Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 4981066792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 473-7120

2750 Clay Edwards Dr
North Kansas City, MO 64116-3258
Phone (816) 453-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Surgery CurrentSince Oct 1, 2023 Accepting new patients
Meritas Health Corporation CurrentSince Oct 1, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Jul 15, 2024 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
North Kansas City Hospital Past Accepting new patients

Locations

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

11750 W 2nd Pl
Ste 360
Lakewood, CO 80228
Phone (720) 321-8470

9151 NE 81st Ter
Ste 220
Kansas City, MO 64158
Phone (816) 453-4000

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2750 Clay Edwards Dr
Ste 312
North Kansas City, MO 64116
Phone (816) 453-4000

2750 Hospital Dr
Ste 600
North Kansas City, MO 64116
Phone (816) 453-4000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1255644456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY STE LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552262",
            "telephone_number": "816-691-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR STE 312",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163256",
            "telephone_number": "816-453-4000",
            "fax_number": "816-842-1486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11600 W 2nd Pl",
            "address_2": "Surgical Residency Program",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELEGINO",
        "first_name": "JUN",
        "middle_name": "UNGOS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2022049454",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MO",
            "license": "2022049454",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MO",
            "license": "2022049454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUN",
            "last_name": "ELEGINO",
            "middle_name": "UNGOS",
            "prefix": "MR.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.