Individual provider Active NPI

Michael Anthony Leander Johnson, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1205104411
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME177505 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Dec 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X W1051 TX
Neurology Physician 2084N0400X ME177505 FL Primary
Neurology Physician 2084N0400X DR.0067293 CO
Epilepsy Physician 2084E0001X DR.0067293 CO

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

4 W Dry Creek Cir Ste 150
Littleton, CO 80120-8072
Phone (303) 730-2883

Other practice location 1

4 W Dry Creek Cir Ste 150
Littleton, CO 80120-8072
Phone (303) 730-2883 ext. 104

Other practice location 2

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (303) 925-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OH, NH, ND, GA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20221006000672 CO Practitioner - Neurology 3870739642 Reassigns benefits to 6 organizations
I20250930003449 OH Practitioner - Neurology 3870739642 Reassigns benefits to 1 organization
I20251003003216 NH Practitioner - Neurology 3870739642 Reassigns benefits to 3 organizations
I20251006003819 ND Practitioner - Neurology 3870739642 Reassigns benefits to 1 organization
I20260313002369 GA Practitioner - Neurology 3870739642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Howard University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (303) 925-4060

1595 S Garfield St
Denver, CO 80210-3022
Phone (239) 208-2212

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME177505FLMDNeurology Physician
W1051TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Aug 29, 2025 Accepting new patients
Virtual Neurology Texas PLLC Neurology CurrentSince Sep 20, 2025 Accepting new patients
Concord Hospital-Franklin CurrentSince Jan 1, 2026 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Mar 2, 2026 Accepting new patients
Altru Health System CurrentSince Oct 23, 2025 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Sep 16, 2025 Accepting new patients
Altru Health System CurrentSince Oct 23, 2025 Accepting new patients
Concord Hospital, Inc. CurrentSince Aug 29, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Sep 1, 2025 Accepting new patients
Concord Hospital-Franklin CurrentSince Jan 1, 2026 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Summit Healthcare Association Neurology CurrentSince Nov 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Sep 1, 2025 Accepting new patients
Concord Hospital-Laconia CurrentSince Aug 29, 2025 Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Oct 14, 2025 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

248 Pleasant St
Ste 206
Concord, NH 03301
Phone (603) 230-7266

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

Interoperability endpoints

  • Direct secure messaging: mjohnson635750@christushealth.direct-ci.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1205104411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W DRY CREEK CIR STE 150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208072",
            "telephone_number": "303-730-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 W Dry Creek Cir Ste 150",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801208072",
            "country_code": "US",
            "telephone_number": "303-730-2883 x104",
            "fax_number": "303-730-2471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 Orchard Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800239206",
            "country_code": "US",
            "telephone_number": "303-925-4060",
            "fax_number": "303-925-4061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY LEANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "W1051",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME177505",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0067293",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "CO",
            "license": "DR.0067293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.