Individual provider Active NPI

Carl F. Juneau, M.D.

  • Interventional Cardiology Physician
  • Sparks, NV
National Provider Identifier
1376560276
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25985 Issued in NV
Practice address
2345 E Prater Way Ste 215
Sparks, NV 89434-9634
Phone
(775) 424-1090
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25985 NV
Cardiovascular Disease Physician 207RC0000X 19586 HI
Interventional Cardiology Physician 207RI0011X 19586 HI
Interventional Cardiology Physician 207RI0011X 25985 NV Primary

Addresses

Primary practice location

2345 E Prater Way Ste 215
Sparks, NV 89434-9634

Mailing address

375 Piney Creek Rd
Reno, NV 89511-5739
Phone (775) 450-2524

Other practice location 1

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

Other identifiers 1

IdentifierTypeStateIssuer
1376560276OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051128000172 NV Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052331782 Reassigns benefits to 1 organization
I20190311002415 HI Practitioner - Interventional Cardiology 1052331782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Ottawa, Faculty of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians
Kau HospitalGroup PAC ID 7416945548, shared by 9 NPIs, 138 clinicians
Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

2375 E Prater Way
Sparks, NV 89434-9641
Phone (775) 351-5301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19586HIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Jan 29, 2019 Accepting new patients
Northern Nevada Medical Group, LLC Cardiovascular Disease CurrentSince Feb 27, 2025 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 29, 2019 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jun 1, 2025 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jun 1, 2025 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Maui Medical Group Inc Past Accepting new patients

Locations

1285 Waianuenue Ave
#2
Hilo, HI 96720

73 Puuhonu Pl
Hilo, HI 96720
Phone (808) 687-0117

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

134 Puuhonu Way
Hilo, HI 96720
Phone (808) 935-1956

75 Puuhonu Pl
Hilo, HI 96720

1849 Wili Pa Loop
Wailuku, HI 96793
Phone (808) 242-2010

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

2385 E Prater Way
Ste 205
Sparks, NV 89434
Phone (775) 356-4888

Interoperability endpoints

  • Direct secure messaging: cjuneau41635@hhsc.direct-ci.com
  • Direct secure messaging: carljuneau@cth.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1376560276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 PINEY CREEK RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115739",
            "telephone_number": "775-450-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 215",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349634",
            "telephone_number": "775-424-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Mahalani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932526",
            "country_code": "US",
            "telephone_number": "808-244-9056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNEAU",
        "first_name": "CARL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "25985",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "19586",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "HI",
            "license": "19586",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "25985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376560276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.