Active NPI
David Juang, MD
- Pediatric Surgery Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 2009004526
- Practice address
- 12200 W 106TH St Ste 210
Overland Park, KS 66215-2305 - Phone
- (913) 717-5590
- NPI assigned
- Jul 31, 2008
- Last updated
- Jan 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 2009004526 | MO | |
| Pediatric Surgery Physician | 2086S0120X | 04-33787 | KS | |
| Surgical Critical Care Physician | 2086S0102X | 04-33787 | KS | |
| Pediatric Surgery Physician | 2086S0120X | 2009004526 | MO | Primary |
Addresses
Primary practice location
12200 W 106TH St Ste 210
Overland Park, KS 66215-2305
Mailing address
12200 W 106TH St Ste 210
Overland Park, KS 66215-2305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009004526 | MO | MD | Surgical Critical Care Physician |
| 04-33787 | KS | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Wesley Physicians Medical Specialties LLC | Current | Accepting new patients | |
| Pediatric Specialty Clinic, LLC | Current | Accepting new patients | |
| Phoenix Children's Hospital | Current | Accepting new patients | |
| The Children's Mercy Hospital | Past | Accepting new patients |
Locations
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
12200 W 106th St
Ste 210
Overland Park, KS 66215
Phone (913) 327-1117
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690
3243 E Murdock St
Ste 500
Wichita, KS 67208
Phone (316) 788-7628
Interoperability endpoints
- david.juang@hca2.eclinicaldirectplus.com
- djuang636893@direct.kuha.org
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Overland Park, KS
- NPI 1699922203
-
- Internal Medicine Physician
- Wichita, KS
- NPI 1699069732
-
dba Phoenix Children's Medical Group
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Children's Hospital
- Kansas City, MO
- NPI 1366515488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1679739544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 W 106TH ST STE 210",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 W 106TH ST STE 210",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152305",
"telephone_number": "913-717-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUANG",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-31",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MO",
"license": "2009004526",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "KS",
"license": "04-33787",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "KS",
"license": "04-33787",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "MO",
"license": "2009004526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.