Individual provider Active NPI

David Juang, MD

  • Pediatric Surgery Physician
  • Overland Park, KS
National Provider Identifier
1679739544
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
2009004526 Issued in MO
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 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
I20190227002943 KS Practitioner - General SurgeryPractitioner - Other (Physician) 0345589842 Reassigns benefits to 2 organizations
I20241111001711 AZ Practitioner - General Surgery 0345589842 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009004526MOMDSurgical Critical Care Physician
04-33787KSMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children's Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Wesley Physicians Medical Specialties LLC CurrentSince Sep 1, 2025 Accepting new patients
Pediatric Specialty Clinic, LLC CurrentSince Dec 6, 2025 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

  • Direct secure messaging: david.juang@hca2.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.