NPIMap

Individual provider Active NPI

Felix Flores Ungacta, MD

  • Orthopaedic Surgery Physician
  • Highland, IL
National Provider Identifier
1669568754
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036-116298 Issued in IL
Practice address
30 Apex Dr
Suite #1
Highland, IL 62249-1285
Phone
(618) 654-5400
Fax
(618) 654-8787
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036-116298 IL Primary

Addresses

Primary practice location

30 Apex Dr
Suite #1
Highland, IL 62249-1285

Mailing address

30 Apex Dr
Suite #1
Highland, IL 62249-1285
Phone (618) 654-5400

Other identifiers 1

IdentifierTypeStateIssuer
6402082MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, 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
I20061220000294 IL Practitioner - Orthopedic Surgery 6901813989 Reassigns benefits to 1 organization
I20090514000334 MO Practitioner - Orthopedic Surgery 6901813989

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Apex Dr
Suite 1
Highland, IL 62249-1372
Phone (618) 654-5400

Hospital & facility affiliations

  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • St Joseph'S Hospital Hospital, Highland, IL, CCN 141336
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-116298ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro East Orthopedics, PLLC Orthopaedic Surgery Current Accepting new patients
Midwest Bone & Joint Surgery PC Orthopaedic Surgery CurrentSince Oct 1, 2007 Accepting new patients
Mitchell Bone and Joint Surgery Orthopaedic Surgery PastSince Apr 1, 2003 Accepting new patients
Midwest Trauma Services, LLC Past Accepting new patients
Midwest Bone & Joint Surgery Orthopaedic Surgery Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Orthopedic & Sports Medicine Clinic, P.C. Orthopaedic Surgery PastSince Nov 10, 2011 Accepting new patients

Locations

30 Apex Dr
Ste 1
Highland, IL 62249
Phone (618) 541-1406

Interoperability endpoints

  • Direct secure messaging: dungacta@yourcarecommunity.org

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 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1669568754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 APEX DR",
            "address_2": "SUITE #1",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491285",
            "telephone_number": "618-654-5400",
            "fax_number": "618-654-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 APEX DR",
            "address_2": "SUITE #1",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491285",
            "telephone_number": "618-654-5400",
            "fax_number": "618-654-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGACTA",
        "first_name": "FELIX",
        "middle_name": "FLORES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-116298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402082",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

Verify at the official NPI Registry.