Individual provider Active NPI

Kevin Eliot Juro, MD

  • Pediatrics Physician
  • Waterloo, IA
National Provider Identifier
1548366172
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD32239 Issued in IA
Practice address
905 Franklin St
Waterloo, IA 50703-4407
Phone
(509) 663-8711
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 81885 GA
Hospitalist Physician 208M00000X 81444 MN
Pediatrics Physician 208000000X 35.135284 OH
Pediatrics Physician 208000000X MD00045787 WA
Pediatrics Physician 208000000X MD-13260 HI
Pediatrics Physician 208000000X MD32239 IA Primary
Pediatrics Physician 208000000X 36551 CT
Pediatrics Physician 208000000X MD.022290 LA

Addresses

Primary practice location

905 Franklin St
Waterloo, IA 50703-4407

Mailing address

700 Magazine St Apt 211
New Orleans, LA 70130-3798
Phone (504) 529-3324

Other identifiers 1

IdentifierTypeStateIssuer
1060412MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WI, OH, NC, MN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20221106000097 TN Practitioner - Pediatric Medicine 7012936677 Reassigns benefits to 1 organization
I20230308001350 WI Practitioner - Pediatric MedicinePractitioner - Hospitalist 7012936677 Reassigns benefits to 1 organization
I20250610001634 OH Practitioner - Pediatric Medicine 7012936677 Reassigns benefits to 2 organizations
I20250611001528 NC Practitioner - Pediatric Medicine 7012936677 Reassigns benefits to 1 organization
I20260123001799 MN Practitioner - Pediatric Medicine 7012936677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 5074
Sioux Falls, SD 57117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2478WIMDClinical Child & Adolescent Psychologist
36551CTMDPediatrics Physician
81885GAMDPediatrics Physician
MD-13260HIMDPediatrics Physician
MD32239IAMDPediatrics Physician
MD.022290LAMDPediatrics Physician
35.135284OHMDPediatrics Physician
MD00045787WAMDPediatrics Physician
81444MNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Mar 29, 2025 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Feb 23, 2023 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jan 5, 2026 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Cookeville Regional Medical Center CurrentSince Sep 21, 2022 Accepting new patients
The Toledo Hospital CurrentSince Mar 29, 2025 Accepting new patients
Scotland Memorial Hospital Inc Pediatrics CurrentSince Mar 29, 2025 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Feb 23, 2023 Accepting new patients
The Toledo Hospital Pediatrics CurrentSince Mar 29, 2025 Accepting new patients
Promedica Multi Specialty Physicians CurrentSince Sep 5, 2025 Accepting new patients
Cookeville Regional Medical Center Hospitalist CurrentSince Sep 21, 2022 Accepting new patients

Locations

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

Interoperability endpoints

  • Direct secure messaging: kjuro1242961@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: kjuro88915@tuftsmedicine.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1548366172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAGAZINE ST APT 211",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303798",
            "telephone_number": "504-529-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 FRANKLIN ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034407",
            "telephone_number": "509-663-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURO",
        "first_name": "KEVIN",
        "middle_name": "ELIOT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "81885",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "81444",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.135284",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00045787",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD-13260",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD32239",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "36551",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.022290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1060412",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.