Individual provider Active NPI

Rinna C Johnson, M.D.

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1104834456
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L4475 Issued in TX
Practice address
7832 Pat Booker Rd.
San Antonio, TX 78233-2601
Phone
(210) 657-9338
Fax
(210) 293-1843
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X L4475 TX Primary

Addresses

Primary practice location

7832 Pat Booker Rd.
San Antonio, TX 78233-2601

Mailing address

7832 Pat Booker Rd.
San Antonio, TX 78233-2601
Phone (210) 657-9338

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101005001158 TX Practitioner - Dermatology 0143412478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of San AntonioGroup PAC ID 1759319296, 17 clinicians
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

7832 Pat Booker Rd
Live Oak, TX 78233-2601
Phone (210) 657-9338

Merit-based Incentive Payment System (MIPS)

Final score
55.15 of 100Reported as individual
Quality
33.19
Promoting interoperability
73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision65
Removal of skin lesions2255
Skin biopsy430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4475TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince Oct 1, 2025 Accepting new patients
Dermatology Associates of San Antonio Dermatology CurrentSince Jan 1, 2003 Accepting new patients

Locations

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

7832 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 657-9338

18540 Sigma Rd
San Antonio, TX 78258
Phone (210) 490-4661

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rinna.johnson.p1@direct.dermsa.nextgenshare.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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1104834456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7832 PAT BOOKER RD.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782332601",
            "telephone_number": "210-657-9338",
            "fax_number": "210-293-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7832 PAT BOOKER RD.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782332601",
            "telephone_number": "210-657-9338",
            "fax_number": "210-293-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RINNA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L4475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.