Ryan Douglas Johnson, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

0057733 Issued in CO

Practice address

1840 Woodmoor Dr Ste 102
Monument, CO 80132-9083

Phone

(719) 622-6522

Fax

(719) 622-6520

NPI assigned

Jul 15, 2005

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Emergency Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Recovery TMS, LLCGroup PAC ID 2163822511, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colorado Recovery TMS, LLC

  dba Colorado Psychiatry Solutions

  • Psychiatry Physician
  • Monument, CO
  • NPI 1225629553
  Medicare reassignment Care Compare group NPD
• James Lee MD PC

  dba Lee Eye Institute

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1144427899
  NPD (past)
• Mary Rutan Hospital

  dba Mad River Family Practice

  • Family Medicine Physician
  • West Liberty, OH
  • NPI 1003875949
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1184623878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 RAINBOWS END PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217200",
            "telephone_number": "719-313-8689",
            "fax_number": "937-465-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WOODMOOR DR STE 102",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329083",
            "telephone_number": "719-622-6522",
            "fax_number": "719-622-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RYAN",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0057733",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CO",
            "license": "0057733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153159201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Jezek
• Ashley Brooke Johnson, DO
• Lori K Johnson, NP
• Marc A Johnson, PA-C
• Raekwon Domanic Johnson
• Amber Johnston
• Jonathan C. Chang, M.D.
• David J. Jones, DDS
• Jessica Ann Jones, R.N.
• Wendy C Jones, PT

• Addiction Medicine (Family Medicine) Physician in Monument, CO
• Providers in Monument, CO by specialty
• Addiction Medicine (Family Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.