Individual provider Active NPI

Robert C Johnston, M.D.

  • Maternal & Fetal Medicine Physician
  • Austin, TX
National Provider Identifier
1003194853
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
R6421 Issued in TX
Practice address
12200 Renfert Way Ste G-3
Austin, TX 78758
Phone
(512) 821-2540
Fax
(512) 973-3533
NPI assigned
Jul 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R6421 TX
Obstetrics & Gynecology Physician 207V00000X A125165 CA
Maternal & Fetal Medicine Physician 207VM0101X R6421 TX Primary

Addresses

Primary practice location

12200 Renfert Way Ste G-3
Austin, TX 78758

Mailing address

12200 Renfert Way Ste G-3
Austin, TX 78758-5654
Phone (512) 821-2540

Other practice location 1

1583 E Common St Ste 111
New Braunfels, TX 78130
Phone (830) 629-2826

Other names 1

  • Dr. Robert C Johnston Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI2 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
I20150619002373 CA Practitioner - Obstetrics/Gynecology 5890006696 Reassigns benefits to 5 organizations
I20210528001429 MI Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 5890006696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Vermont College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297
Phone (858) 573-1504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125165CAMDObstetrics & Gynecology Physician
R6421TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Mar 1, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Hendrick Provider Network Obstetrics & Gynecology CurrentSince Mar 1, 2022 Accepting new patients
University of California Irvine CurrentSince Jun 25, 2016 Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Aug 7, 2015 Accepting new patients
University of California Irvine CurrentSince Jun 25, 2016 Accepting new patients
Regents of the University of California Obstetrics & Gynecology CurrentSince May 15, 2015 Accepting new patients
Bronson Methodist Hospital Obstetrics & Gynecology CurrentSince Jun 1, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 1, 2021 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

File 50978
Los Angeles, CA 90074

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 56
Orange, CA 92868
Phone (714) 456-5753

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

601 John St
Ste N1100
Kalamazoo, MI 49007
Phone (269) 341-7887

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
#39
Kalamazoo, MI 49007

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1924 Pine St
Ste 403
Abilene, TX 79601
Phone (325) 670-5347

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: 2347-johnston-robert@direct.leadingreach.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1003194853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY STE G-3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585654",
            "telephone_number": "512-821-2540",
            "fax_number": "512-973-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY STE G-3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-821-2540",
            "fax_number": "512-973-3533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1583 E Common St Ste 111",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "78130",
            "country_code": "US",
            "telephone_number": "830-629-2826",
            "fax_number": "830-629-2841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R6421",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A125165",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "R6421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "JOHNSTON",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.