Individual provider Active NPI

Janis Louise Johnson, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Denver, CO
National Provider Identifier
1043377740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
30659 Issued in CO
Practice address
1601 E 19TH Ave Ste 5300
Denver, CO 80218-1229
Phone
(303) 839-7440
Fax
(303) 839-7210
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 30659 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave Ste 5300
Denver, CO 80218-1229

Mailing address

1601 E 19TH Ave Ste 5300
Denver, CO 80218-1229
Phone (303) 839-7440

Other identifiers 1

IdentifierTypeStateIssuer
1306596MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20120612000412 CO Order and Referring Only - Pediatric MedicinePractitioner - Pediatric MedicinePractitioner - Other (Physician) 8820252455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30659COMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Colorado P C Past Accepting new patients
Obstertix/Pediatrix Medical Group Neonatal-Perinatal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janis.johnson.1@14034.direct.athenahealth.com

Organizations & group practices 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043377740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 5300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181229",
            "telephone_number": "303-839-7440",
            "fax_number": "303-839-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 5300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181229",
            "telephone_number": "303-839-7440",
            "fax_number": "303-839-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JANIS",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CO",
            "license": "30659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306596",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.