NPIMap

Individual provider Active NPI

Craig Alan Johnson, D.O.

  • Family Medicine Physician
  • Brazil, IN
National Provider Identifier
1295725851
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02002070 Issued in IN
Practice address
115 S Murphy Ave
Suite a
Brazil, IN 47834-8296
Phone
(812) 442-2100
Fax
(812) 446-4409
NPI assigned
Oct 25, 2005
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02002070 IN Primary

Addresses

Primary practice location

115 S Murphy Ave
Suite a
Brazil, IN 47834-8296

Mailing address

1542 S Bloomington St
Greencastle, IN 46135-2212
Phone (765) 658-2753

Other practice location 1

1542 S Bloomington St
Greencastle, IN 46135-2297
Phone (765) 301-7617

Other identifiers 5

IdentifierTypeStateIssuer
200300810MedicaidIN
200853600AMedicaidIN
200286610MedicaidIN
153869OtherINRURAL HEALTH
P00416616OtherINRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@pchosp.hin.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000326 IN Practitioner - Family PracticePractitioner - Hospitalist 8921919788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Michigan State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Putnam County HospitalGroup PAC ID 1951396605, shared by 27 NPIs, 46 clinicians

Practice addresses (Care Compare)

1530 N 7TH St
Suite 201
Terre Haute, IN 47807-1061
Phone (812) 238-7631

1542 S Bloomington St
Greencastle, IN 46135-2212
Phone (765) 522-2556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Professionals Community Health Center, Inc. Current Accepting new patients
Putnam County Hospital CurrentSince Mar 8, 2015 Accepting new patients
Putnam County Hospital Current Accepting new patients
Putnam County Hospital CurrentSince Mar 8, 2015 Accepting new patients
Putnam County Hospital Current Accepting new patients
Putnam County Hospital Current Accepting new patients
Putnam County Hospital Current Accepting new patients
Valley Professionals Community Health Center Inc Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Midwest Medical Management, P.C. Past Accepting new patients

Locations

440 E Pat Rady Way
Bainbridge, IN 46105
Phone (765) 522-2556

777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003

51 E Market St
Cloverdale, IN 46120
Phone (765) 795-4242

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

1542 S Bloomington St
#1100
Greencastle, IN 46135
Phone (765) 658-2700

1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700

1530 N 7th St
Ste 201
Terre Haute, IN 47807
Phone (812) 238-7631

Interoperability endpoints

  • Direct secure messaging: cjohnson583061@direct.franciscanalliance.org
  • Direct secure messaging: ehr-direct@pchosp.hin.us

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cloverleaf of KnightsvilleKnightsville, IN, CCN 155542 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2020
Nov 1, 2020
Mill Pond Health CampusGreencastle, IN, CCN 155736 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 9

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1295725851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 S BLOOMINGTON ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352212",
            "telephone_number": "765-658-2753",
            "fax_number": "765-655-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MURPHY AVE",
            "address_2": "SUITE A",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478348296",
            "telephone_number": "812-442-2100",
            "fax_number": "812-446-4409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 S Bloomington St",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "IN",
            "postal_code": "461352297",
            "country_code": "US",
            "telephone_number": "765-301-7617",
            "fax_number": "765-301-7621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200300810",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200853600A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200286610",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH",
            "identifier": "153869",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00416616",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@pchosp.hin.us",
            "affiliation": "N",
            "address_1": "1542 S Bloomington St",
            "city": "Greencastle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461352297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brazil, IN

Sources for this page

Verify at the official NPI Registry.