Randy M Johnson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002078 Issued in CT

Practice address

2200 Whitney Avenue
Suite 360
Hamden, CT 06518-3694

Phone

(203) 281-4463

Fax

(203) 287-2930

NPI assigned

Apr 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

HHC Physician Services PLLCGroup PAC ID 9537573357, 140 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as apm

Quality

86.54

Promoting interoperability

99.98

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.41 of 100Reported as group

Quality

83.74

Promoting interoperability

100

Improvement activities

40

Cost

72.88

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rjohnson3515@direct.ynhh.org

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment Care Compare group NPD
• HHC Physician Services, PLLC

  • Internal Medicine Physician
  • Branford, CT
  • NPI 1669075610
  Medicare reassignment Care Compare group
• HHC Physician Services, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Branford, CT
  • NPI 1609530237
  NPD
• HHC Physician Services, PLLC

  • Pulmonary Disease Physician
  • Guilford, CT
  • NPI 1962212779
  NPD
• Mill Hill Medical Consultants Inc

  • Hospitalist Physician
  • Greenwich, CT
  • NPI 1881607232
  NPD

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

• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1073787677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVENUE",
            "address_2": "SUITE 360",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183694",
            "telephone_number": "203-281-4463",
            "fax_number": "203-287-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVENUE",
            "address_2": "SUITE 360",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183694",
            "telephone_number": "203-281-4463",
            "fax_number": "203-287-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RANDY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "002078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randall.johnson@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2200 Whitney Avenue",
            "address_2": "Suite 360",
            "city": "Hamden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065183694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Victoria Johnson
• Crystal Lachea Johnson, MSN, PMHNP-BC
• Kelly Christine Johnson
• Keyaira D Johnson
• Marielle Johnson, LCSW
• Sarah Maria Johnson, MPT
• Jennifer Ann Johnston, M.A.
• Jonathan L. Goldberg DMD
• Jonathan Stern, M.S., L.P.C., L.a.D.C., Counseling and Psychotherapy S
• Alexis Jones

• Medical Physician Assistant in Hamden, CT
• Providers in Hamden, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.