Individual provider Active NPI

Alfred R. Johnson, D.O.

  • Allergy & Immunology (Internal Medicine) Physician
  • Richardson, TX
National Provider Identifier
1255343133
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
F8525 Issued in TX
Practice address
997 Hampshire LN
Richardson, TX 75080-8105
Phone
(972) 479-0400
Fax
(972) 479-9435
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X F8525 TX Primary

Addresses

Primary practice location

997 Hampshire LN
Richardson, TX 75080-8105

Mailing address

997 Hampshire LN
Richardson, TX 75080-8105
Phone (972) 479-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080903000591 TX Practitioner - Internal MedicinePractitioner - Preventive MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - General PracticePractitioner - Allergy/Immunology 3870669575

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1974
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

997 Hampshire Lane
Richardson, TX 75080-8105

Merit-based Incentive Payment System (MIPS)

Final score
19.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Medical Associates, P.a. Allergy & Immunology CurrentSince Dec 1, 1999 Accepting new patients

Locations

997 Hampshire Ln
Richardson, TX 75080
Phone (972) 479-0400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1255343133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 HAMPSHIRE LN",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750808105",
            "telephone_number": "972-479-0400",
            "fax_number": "972-479-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 HAMPSHIRE LN",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750808105",
            "telephone_number": "972-479-0400",
            "fax_number": "972-479-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALFRED",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "F8525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.