Individual provider Active NPI

Daniel James Johnston, MD

  • Vascular Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1235337726
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
4301079996 Issued in MI
Practice address
1815 Henson Ave
Kalamazoo, MI 49048-1510
Phone
(269) 633-2513
Fax
(269) 633-2514
NPI assigned
Jul 5, 2007
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 4301079996 MI Primary

Addresses

Primary practice location

1815 Henson Ave
Kalamazoo, MI 49048-1510

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-2713

Other practice location 1

2845 Capital Ave SW
Battle Creek, MI 49015-4185
Phone (269) 633-2061

Other practice location 2

360 E Chicago St Ste 103
Coldwater, MI 49036-2086
Phone (269) 633-2063

Other practice location 3

711 S Health Parkway
Three Rivers, MI 49093-9387
Phone (269) 633-2070

Other practice location 4

199 Veterans Blvd
South Haven, MI 49090-8652
Phone (269) 633-2066

Other practice location 5

104 S Lakeview Ave
Sturgis, MI 49091-1947
Phone (269) 633-2068

Other practice location 6

601 S Health Parkway
Three Rivers, MI 49093-8351
Phone (269) 633-2075

Other practice location 7

730 Airway Dr
Allegan, MI 49010-8507
Phone (269) 895-0358

Other identifiers 2

IdentifierTypeStateIssuer
1417961137OtherMIBCBSM - BMH
1235337726MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090706000362 MI Practitioner - Vascular SurgeryPractitioner - General Surgery 2567513401 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians
Paragon Health PCGroup PAC ID 1658283007, 52 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

1815 Henson Ave
Kalamazoo, MI 49048-1510
Phone (269) 492-6502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal23
Leg revascularization (restoring blood flow)26
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Hospital CurrentSince Jun 29, 2009 Accepting new patients
Bronson Methodist Hospital CurrentSince Dec 15, 2010 Accepting new patients
Paragon Health PC CurrentSince Jun 30, 2009 Accepting new patients
Paragon Health, PC Vascular Surgery CurrentSince Jun 30, 2009 Accepting new patients
Beacon Kalamazoo Inc CurrentSince Jun 29, 2009 Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
Paragon Health, PC Past Accepting new patients

Locations

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1815 Henson Ave
Kalamazoo, MI 49048
Phone (269) 492-6502

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

199 Veterans Blvd
South Haven, MI 49090
Phone (269) 639-1800

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 8

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.

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1235337726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HENSON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481510",
            "telephone_number": "269-633-2513",
            "fax_number": "269-633-2514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 Capital Ave SW",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490154185",
            "country_code": "US",
            "telephone_number": "269-633-2061",
            "fax_number": "269-633-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 E Chicago St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "MI",
            "postal_code": "490362086",
            "country_code": "US",
            "telephone_number": "269-633-2063",
            "fax_number": "269-633-2065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 S Health Parkway",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490939387",
            "country_code": "US",
            "telephone_number": "269-633-2070",
            "fax_number": "269-633-2074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "199 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "South Haven",
            "state": "MI",
            "postal_code": "490908652",
            "country_code": "US",
            "telephone_number": "269-633-2066",
            "fax_number": "269-633-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 S Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Sturgis",
            "state": "MI",
            "postal_code": "490911947",
            "country_code": "US",
            "telephone_number": "269-633-2068",
            "fax_number": "269-633-2069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 S Health Parkway",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490938351",
            "country_code": "US",
            "telephone_number": "269-633-2075",
            "fax_number": "269-633-2076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Airway Dr",
            "address_purpose": "LOCATION",
            "city": "Allegan",
            "state": "MI",
            "postal_code": "490108507",
            "country_code": "US",
            "telephone_number": "269-895-0358",
            "fax_number": "269-895-0359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301079996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - BMH",
            "identifier": "1417961137",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235337726",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1815 Henson Ave",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490481510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.