NPIMap

Individual provider Active NPI

Julian Jesus Nunez, MD

  • Cardiovascular Disease Physician
  • Saint Joseph, MO
National Provider Identifier
1528054996
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0427730 Issued in KS
Practice address
5514 Corporate Dr
Suite 150
Saint Joseph, MO 64507-7743
Phone
(816) 271-1221
NPI assigned
Sep 21, 2005
Last updated
Oct 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0427730 KS Primary

Addresses

Primary practice location

5514 Corporate Dr
Suite 150
Saint Joseph, MO 64507-7743

Mailing address

5514 Corporate Dr Ste 150
Saint Joseph, MO 64507-7763
Phone (816) 271-1265

Other identifiers 4

IdentifierTypeStateIssuer
1528054996MedicaidMO
207005208MedicaidMO
200417980 CMedicaidKS
200417980AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20061116000185 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496734543 Reassigns benefits to 1 organization
I20150709002762 MO Practitioner - Cardiovascular Disease (Cardiology) 5496734543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

207 S Main St
Troy, KS 66087-4017
Phone (785) 985-2211

5301 Faraon St
Suite 120
Saint Joseph, MO 64506-3512

5514 Corporate Dr
Suite 150
Saint Joseph, MO 64507-7763
Phone (816) 271-1220

800 Ravenhill Dr
Atchison, KS 66002-9204

802 Ravenhill Dr
Atchison, KS 66002-9204
Phone (816) 271-1200

810 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-6675

820 Ravenhill Dr
Suite 103
Atchison, KS 66002-9230
Phone (816) 271-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.52 of 100Reported as group
Quality
73.6
Promoting interoperability
100
Improvement activities
40
Cost
81.46

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0427730KSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Cardiovascular Disease CurrentSince Jun 22, 2015 Accepting new patients
Heartland Regional Medical Center CurrentSince Jun 22, 2015 Accepting new patients
Florida Heart & Vascular Associates, PL Cardiovascular Disease Past Accepting new patients
St Joseph Oncology Inc Past Accepting new patients
Prime Healthcare Physician Services - Providence Inc Cardiovascular Disease Past Accepting new patients
Tampa Heart Center Inc Cardiovascular Disease Past Accepting new patients
Providence Care Inc Cardiovascular Disease Past Accepting new patients
Overland Park Cardiovascular, Inc. Cardiovascular Disease Past Accepting new patients
Heart Health PA Cardiovascular Disease Past Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients

Locations

800 Ravenhill Dr
#109
Atchison, KS 66002
Phone (816) 271-4025

207 S Main St
Troy, KS 66087
Phone (785) 985-2211

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

5325 Faraon St
Rm 1144
Saint Joseph, MO 64506

5514 Corporate Dr
Ste 150
Saint Joseph, MO 64507
Phone (816) 271-1221

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395

902 N Riverside Rd
Ste 100
Saint Joseph, MO 64507
Phone (816) 271-1241

Interoperability endpoints

  • Direct secure messaging: julian.nunez@direct.mymlc.com

Organizations & group practices 12

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 8

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1528054996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 CORPORATE DR STE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645077763",
            "telephone_number": "816-271-1265",
            "fax_number": "816-271-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 CORPORATE DR",
            "address_2": "SUITE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645077743",
            "telephone_number": "816-271-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "JULIAN",
        "middle_name": "JESUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0427730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528054996",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207005208",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200417980 C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200417980A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.