Active NPI
Premila Lakshmi Singh Johnson, MD
- Internal Medicine Physician
- Midland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M3739
- Practice address
- 2300 W Michigan Ave
Suite 5
Midland, TX 79701-5808 - Phone
- (432) 683-9898
- Fax
- (432) 695-6102
- NPI assigned
- Sep 7, 2006
- Last updated
- Sep 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M3739 | TX | Primary |
| Pediatrics Physician | 208000000X | M3739 | TX |
Addresses
Primary practice location
2300 W Michigan Ave
Suite 5
Midland, TX 79701-5808
Mailing address
2300 W Michigan Ave
Suite 5
Midland, TX 79701-5808
Phone (432) 683-9898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094778003 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Baylor College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2300 W Michigan Ave
Suite 5
Midland, TX 79701-5855
Phone (432) 683-9898
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M3739 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premila Johnson, MD LP | Internal Medicine | Current | Accepting new patients |
| Premier Family Care I, Inc | Internal Medicine | Past | Accepting new patients |
| Midland Family Physicians, P. a. | Past | Accepting new patients |
Locations
2300 W Michigan Ave
Ste 5
Midland, TX 79701
Phone (432) 413-5496
Interoperability endpoints
- premila.johnson.1@28496.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Midland, TX
- NPI 1396007274
-
- Family Medicine Physician
- Midland, TX
- NPI 1932260502
-
dba Premier Physicians
- General Practice Physician
- Midland, TX
- NPI 1275522864
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Midland Health at Home
- Home Health Agency
- Midland, TX
- NPI 1144344052
-
- Home Health Agency
- Midland, TX
- NPI 1023062148
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
-
- Personal Care Attendant
- Midland, TX
- NPI 1235157124
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1184727562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W MICHIGAN AVE",
"address_2": "SUITE 5",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797015808",
"telephone_number": "432-683-9898",
"fax_number": "432-695-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W MICHIGAN AVE",
"address_2": "SUITE 5",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797015808",
"telephone_number": "432-683-9898",
"fax_number": "432-695-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "PREMILA",
"middle_name": "LAKSHMI SINGH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M3739",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M3739",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094778003",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.