Active NPI
Erik Scott Johnson, M.D.
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1164409355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L4990
- Practice address
- 15881 FM 529 Rd
Houston, TX 77095-2577 - Phone
- (713) 461-2915
- Fax
- (713) 461-5307
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L4990 | TX | Primary |
Addresses
Primary practice location
15881 FM 529 Rd
Houston, TX 77095-2577
Mailing address
1331 Northpark Dr
Humble, TX 77339-1636
Phone (281) 359-5330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886527 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040211000171 | TX | Practitioner - Family Practice | 5496649485 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heart of Texas Healthcare System
Practice addresses (Care Compare)
2008 Nine Rd
Brady, TX 76825-7210
Phone (325) 597-2901
Hospital & facility affiliations
- Hill Country Preferred Senior Care
- Elara Caring
- Solaris Hospice Inc
- Heart of Texas Memorial Hospital
- Shannon Medical Center
- Hendrick Medical Center Brownwood
- Heart of Texas Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4990 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Texas Healthcare System | Family Medicine | Current | Accepting new patients |
| Heart of Texas Healthcare System | Current | Accepting new patients | |
| Heart of Texas Healthcare System | Past | Accepting new patients | |
| Kingwood Family Medicine, PA | Past | Accepting new patients |
Locations
2010 Nine Rd
Brady, TX 76825
Phone (325) 597-2114
2008 Nine Rd
Brady, TX 76825
Phone (325) 597-2901
Interoperability endpoints
- ejohnson56317@shannonhealth.direct-ci.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Brady, TX
- NPI 1386110922
Family Medicine, TX
-
- Rural Health Clinic/Center
- Brady, TX
- NPI 1457337800
-
- Primary Care Clinic/Center
- Kingwood, TX
- NPI 1851318729
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brownwood, TX
- NPI 1699729368
-
- Home Health Agency
- Mason, TX
- NPI 1033247093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1164409355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 NORTHPARK DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773391636",
"telephone_number": "281-359-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15881 FM 529 RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770952577",
"telephone_number": "713-461-2915",
"fax_number": "713-461-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ERIK",
"middle_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L4990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886527",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.