Eli Johnson, DO
Individual provider Active NPI Emergency Medicine Physician · Orange, FL
NPI 1194302828 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1194302828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- OS20042 (FL)
- Practice address
- 601 E Rollins St
Orange, FL 32803-1248 - Phone
- (614) 544-4691
- Fax
- (614) 544-1745
- NPI assigned
- Mar 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Emergency Physicians Kang and Associates MD LLC
Practice addresses (Care Compare)
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
Hospital & facility affiliations
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.95 of 100
- Quality
- 87.44
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 84.85
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240905003455 | OH | Practitioner - Emergency Medicine | 2466851274 | Reassigns benefits to 2 organizations |
| I20241105001416 | FL | Practitioner - Emergency Medicine | 2466851274 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS20042 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Franklin County, LTD | Emergency Medicine | Current |
Accepting new patients |
| Mid-Ohio Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000
1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000
Interoperability endpoints
- ejohnson127467@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34.017160 | OH | |
| Emergency Medicine Physician | 207P00000X | OS20042 | FL | Yes |
Addresses
Primary practice location
601 E Rollins St
Orange, FL 32803-1248
Mailing address
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-6413
Other practice location 1
7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone (407) 303-6413
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.adventhealth.com/adventhealth-graduate-medical-education/emergency-medicine-residency |
Other providers in Orange, FL
All providers in Orange, FL · Emergency Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.