Trevor A Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R4856 Issued in TX

Practice address

1500 S Main St
Ft Worth, TX 76104

Phone

(817) 702-3431

NPI assigned

Mar 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Family Practice

Education

University of Texas Southwestern Medical School at Dallas, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ennis Regional Medical Center Hospital, Ennis, TX, CCN 450833
• JPS Health Network Hospital, Fort Worth, TX, CCN 450039

Merit-based Incentive Payment System (MIPS)

Final score

96.38 of 100Reported as group

Quality

80.41

Promoting interoperability

100

Improvement activities

40

Cost

78.69

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBHBBD/Endpoint/FBHBBD

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.

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment Care Compare group NPD
• Texas Specialty Physicians

  • Family Medicine Physician
  • Palestine, TX
  • NPI 1558521179
  Medicare reassignment Care Compare group NPD
• Canyon Springs Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Alamo, TX
  • NPI 1154825412
  Medicare reassignment NPD
• Edinburg Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1942467113
  Medicare reassignment NPD
• McAdams Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Laredo, TX
  • NPI 1275183956
  Medicare reassignment NPD
• Municipal Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1396250650
  Medicare reassignment NPD
• Oak Creek Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • McAllen, TX
  • NPI 1629576632
  Medicare reassignment NPD
• Shavano Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1255820775
  Medicare reassignment NPD
• Texas Emergency Medicine Group, LLP

  • Emergency Medicine Physician
  • Graham, TX
  • NPI 1134774722
  Medicare reassignment NPD
• Texas Medicine Resources, LLP

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1376581900
  Medicare reassignment NPD
• Webb Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Laredo, TX
  • NPI 1770543555
  Medicare reassignment NPD
• Texas Specialty Physicians

  • Psychiatry Physician
  • Palestine, TX
  • NPI 1861378168

  Emergency Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• PRHC Ennis LP

  • General Acute Care Hospital
  • Ennis, TX
  • NPI 1700805678
  Care Compare affiliation
• Tarrant County Hospital District

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1992753222
  Care Compare affiliation

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1003278003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-702-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Jaime Zapata Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780435061",
            "country_code": "US",
            "telephone_number": "956-523-2000",
            "fax_number": "956-523-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 McPherson Rd",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780456268",
            "country_code": "US",
            "telephone_number": "956-523-2000",
            "fax_number": "956-523-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TREVOR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R4856",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R4856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Johnson, NP
• Steven E. Johnson, M.D.
• Tameka Johnson, RN
• Teresa Ann Johnson, LCPC
• Teri Johnson
• Tryniti De'Sha Johnson
• Valerie Johnson, BGS, LCDC, ADC III,
• Valerie Waldron Johnson, PT
• Vanessa L Johnson, MD
• Yvette R Johnson, MD

• Family Medicine Physician in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.