Individual provider Active NPI

Adolph William Johnson Jr., M.D.

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1235139387
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0033109 Issued in MD
Practice address
12501 Prosperity Dr Ste 410
Silver Spring, MD 20904-1652
Phone
(301) 368-0038
Fax
(301) 328-0006
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0033109 MD Primary

Addresses

Primary practice location

12501 Prosperity Dr Ste 410
Silver Spring, MD 20904-1652

Mailing address

12501 Prosperity Dr Ste 410
Silver Spring, MD 20904-1652
Phone (301) 368-0038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20090320000412 DC Practitioner - Family Practice 9436042793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12501 Prosperity Dr
Suite 410
Silver Spring, MD 20904-1652
Phone (301) 368-0038

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions43
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0033109MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Family Practice PA Family Medicine CurrentSince May 20, 1992 Accepting new patients
Dr. Benjamin F. Papoi, P.C. Family Medicine Past Accepting new patients
Maryland Internal Medicine, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9815 Main St
Damascus, MD 20872
Phone (301) 253-4004

12501 Prosperity Dr
Ste 410
Silver Spring, MD 20904
Phone (301) 368-0038

Interoperability endpoints

  • Direct secure messaging: adolphjohnson@aifp.ssdirect.aprima.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.

Hospital & facility affiliations 2

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1235139387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 410",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041652",
            "telephone_number": "301-368-0038",
            "fax_number": "301-328-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 410",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041652",
            "telephone_number": "301-368-0038",
            "fax_number": "301-328-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ADOLPH",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0033109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.