Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Gooden, MD

Individual provider General Practice Physician · NPI 1205127982

Justin Gooden, MD is a Pediatric Medicine in Wichita, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2004, 22 years ago. Practices with Medical on Demand LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
22
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10346 E Stonegate Ln Ste 100
Wichita, KS 67206-2054
Phone: (316) 871-0995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083P0011X · Licence 04-36002 (KS)
General Practice Physician Taxonomy 208D00000X · Licence 04-36002 (KS)

Record details

NPI number1205127982
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2011
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address10346 E Stonegate Ln Ste 100, Wichita, KS 67206-2054

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2004 (22 years in practice)
Group practice Medical On Demand Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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