Active NPI
Daniel James Johnston, MD
- Vascular Surgery Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 4301079996
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417961137 | Other | MI | BCBSM - BMH |
| 1235337726 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Wayne State University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Borgess Medical Center
- Bronson Methodist Hospital
- Bronson Battle Creek Hospital
- Sturgis Hospital
- Three Rivers Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 23 |
| Leg revascularization (restoring blood flow) | 26 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Paragon Health PC | Current | Accepting new patients | |
| Paragon Health, PC | Vascular Surgery | Current | Accepting new patients |
| Beacon Kalamazoo Inc | Current | 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@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.
-
dba Advanced Vascular Surgery
- Vascular Surgery Physician
- Kalamazoo, MI
- NPI 1487619136
-
dba Bronson Medical Group
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
- Cardiovascular Disease Physician
- Kalamazoo, MI
- NPI 1306976204
-
dba Beacon Kalamazoo
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1518753441
-
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
- NPI 1548243595
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
dba Three Rivers Health
- General Acute Care Hospital
- Three Rivers, MI
- NPI 1568739423
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.