Active NPI
Eric M Johnson, M.D.
- Otolaryngology Physician
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 4301513507
- Practice address
- 303 S Nappanee St
Elkhart, IN 46514-2066 - Phone
- (574) 296-3291
- Fax
- (574) 296-3383
- NPI assigned
- Jan 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01057061A | IN | |
| Otolaryngology Physician | 207Y00000X | 4301513507 | MI | Primary |
Addresses
Primary practice location
303 S Nappanee St
Elkhart, IN 46514-2066
Mailing address
300 North Ave Ste 1400
Battle Creek, MI 49017-3307
Phone (269) 245-8590
Other practice location 1
300 North Ave Ste 1400
Battle Creek, MI 49017
Phone (269) 245-8590
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000496144 | Other | IN | ANTHEM |
| 200415640 | Medicaid | IN | |
| P00373238 | Other | IN | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040607001305 | IN | Practitioner - Otolaryngology | 1759363237 | Reassigns benefits to 1 organization |
| I20250320002741 | MI | Practitioner - Otolaryngology | 1759363237 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bronson Battle Creek HospitalBronson Methodist Hospital
Practice addresses (Care Compare)
300 N Ave
Battle Creek, MI 49017-3307
Phone (269) 245-8590
601 John St
Suite 273
Kalamazoo, MI 49007-5360
Phone (269) 381-0180
Hospital & facility affiliations
- Bronson Battle Creek Hospital
- Bronson Methodist Hospital
- Borgess Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057061A | IN | MD | Otolaryngology Physician |
| 4301513507 | MI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Current | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Northern Lights Clinic SC | Otolaryngology | Past | Accepting new patients |
Locations
2222 W Lexington Ave
#B
Elkhart, IN 46514
Phone (219) 206-8777
303 S Nappanee St
Elkhart, IN 46514
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
300 North Ave
Ste 1400
Battle Creek, MI 49017
Phone (269) 245-8590
601 John St
Ste M-273
Kalamazoo, MI 49007
Phone (269) 381-0180
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725
408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481
Interoperability endpoints
- direct@direct.bronsonhg.org
- eric.johnson@elkhartc.eclinicaldirectplus.com
Organizations & group practices 12
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.
-
- Community/Retail Pharmacy
- Battle Creek, MI
- NPI 1740351907
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- Physician Assistant
- Kalamazoo, MI
- NPI 1013089820
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- Family Nurse Practitioner
- Wakarusa, IN
- NPI 1568147809
-
- Rural Health Clinic/Center
- South Haven, MI
- NPI 1801538871
Hospital & facility affiliations 3
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": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1245201169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 NORTH AVE STE 1400",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173307",
"telephone_number": "269-245-8590",
"fax_number": "269-245-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S NAPPANEE ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142066",
"telephone_number": "574-296-3291",
"fax_number": "574-296-3383"
}
],
"practiceLocations": [
{
"address_1": "300 North Ave Ste 1400",
"address_purpose": "LOCATION",
"city": "Battle Creek",
"state": "MI",
"postal_code": "49017",
"country_code": "US",
"telephone_number": "269-245-8590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ERIC",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01057061A",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MI",
"license": "4301513507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000496144",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200415640",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00373238",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"affiliationName": "Bronson Healthcare Group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.