Jonathan N Johnson, MD
Individual provider Active NPI Pediatric Cardiology Physician · Rochester, MN
NPI 1285648899 · NPPES record last updated Aug 14, 2020
Key facts
- NPI
- 1285648899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- License
- 48652 (MN)
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 46
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Wayne State University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic
St Alexius Medical Center
Practice addresses (Care Compare)
1216 2ND St SW
Rochester, MN 55902-1906
Phone (507) 255-5123
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000
Hospital & facility affiliations
- CHI St Alexius Health
- Mayo Clinic Hospital Rochester
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MN, WI, ND, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060814000078 | MN | Practitioner - Pediatric Medicine |
0446253470 | Reassigns benefits to 12 organizations |
| I20111103000894 | WI | Practitioner - Pediatric Medicine | 0446253470 | Reassigns benefits to 4 organizations |
| I20120210000710 | ND | Practitioner - Pediatric Medicine | 0446253470 | Reassigns benefits to 3 organizations |
| I20181002003050 | IA | Practitioner - Cardiovascular Disease (Cardiology) |
0446253470 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48652 | MN | MD | Pediatric Cardiology Physician |
Practice roles
Locations (25 of 28)
901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
114 Main St S
Mabel, MN 55954
Phone (507) 493-5115
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
701 Hewitt Blvd
Red Wing, MN 55066
Phone (507) 377-6285
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
825 Mankato Ave
Winona, MN 55987
Phone (507) 454-4925
855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680
802 2nd St NW
Bowman, ND 58623
Phone (701) 523-3214
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
530 W Cairns St
Ellsworth, WI 54011
Phone (715) 273-5061
403 N Maple St
Ellsworth, WI 54011
Phone (715) 273-5821
2409 Stout Rd
Menomonie, WI 54751
Phone (715) 231-3937
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
Interoperability endpoints
- jjohnson28565@ehrdirect.mayoclinicmsg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 48652 | MN | |
| Pediatric Cardiology Physician | 2080P0202X | 48652 | MN | Yes |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jjohnson28565@ehrdirect.mayoclinicmsg.org |
Other providers in Rochester, MN
- Jedediah Edward Jensen Johnson
- Jeffrey Earl Johnson
- Jennifer Johnson
- Jessica Marie Johnson
- Jody Lynn Johnson
- Julie M Johnson
- Julie O Johnson
- Kailee Jo Johnson
- Kari Johnson
- Karisa Johnson
All providers in Rochester, MN · Pediatric Cardiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.