Individual provider Active NPI

Robert Ashford Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Hampton, VA
National Provider Identifier
1053372508
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024158463 Issued in VA
Practice address
3000 Coliseum Dr
Hampton, VA 23666-5963
Phone
(757) 736-3498
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024158463 VA Primary

Addresses

Primary practice location

3000 Coliseum Dr
Hampton, VA 23666-5963

Mailing address

1385 Fordham Dr Ste 105-285
Virginia Beach, VA 23464-5345
Phone (757) 941-7805

Other practice location 1

3998 Fair Ridge Dr
Suite 320
Fairfax, VA 22033-2921
Phone (703) 295-9360 ext. 140

Other identifiers 2

IdentifierTypeStateIssuer
010171351MedicaidVA
C00228OtherVAMEDICARE PART B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, VI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050712000318 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911990676 Reassigns benefits to 6 organizations
I20140106001108 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911990676 Reassigns benefits to 1 organization
I20230530000427 VI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911990676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Albany Medical College of Union University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024158463VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince May 1, 2021 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2019 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Mar 1, 2013 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince May 1, 2021 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Mar 1, 2023 Accepting new patients
Hampton Roads Gastroenterology, P.C. CurrentSince Jul 1, 2019 Accepting new patients
Professional Anesthesia Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2017 Accepting new patients
Portsmouth Anesthesia Associates, P.C. Past Accepting new patients
American Anesthesiology Associates of Virginia, Inc Past Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Healthcare Partners, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

303 Butler Farm Rd
Ste 103
Hampton, VA 23666
Phone (757) 826-3434

501 Medical Dr
Hampton, VA 23666
Phone (757) 826-3434

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

828 Healthy Way
Ste 115
Virginia Beach, VA 23462
Phone (757) 388-6200

Interoperability endpoints

  • Direct secure messaging: robert.johnson.p1@direct.hrgastro.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1053372508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 FORDHAM DR STE 105-285",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645345",
            "telephone_number": "757-941-7805",
            "fax_number": "757-941-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-736-3498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3998 Fair Ridge Dr",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220332921",
            "country_code": "US",
            "telephone_number": "703-295-9360 x140",
            "fax_number": "703-295-9369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "ASHFORD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024158463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010171351",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "C00228",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.