Individual provider Active NPI

Michael Winters Johnson, M.D., F.A.C.S.

  • Surgery Physician
  • Minot, ND
National Provider Identifier
1306829445
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301054807 Issued in MI
Practice address
2305 37TH Ave SW
Minot, ND 58701-7669
Phone
(701) 418-8000
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301054807 MI Primary

Addresses

Primary practice location

2305 37TH Ave SW
Minot, ND 58701-7669

Mailing address

PO Box 5010
Minot, ND 58702-5010

Other practice location 1

101 W Mitchell St
Petoskey, MI 49770-2323
Phone (231) 487-1000

Other identifiers 1

IdentifierTypeStateIssuer
3396567-10MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160830001300 ND Practitioner - General Surgery 9335148592 Reassigns benefits to 6 organizations
I20160906001617 IL Practitioner - General Surgery 9335148592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Michigan Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity HealthGroup PAC ID 7911816020, 292 clinicians

Practice addresses (Care Compare)

2305 37TH Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System Surgery Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Lutheran Charity Association Current Accepting new patients
Lutheran Charity Association CurrentSince Dec 18, 2016 Accepting new patients
Iowa Physicians Clinic Medical Foundation Surgery CurrentSince Aug 17, 2023 Accepting new patients
Sanford Bismarck CurrentSince Jul 26, 2016 Accepting new patients
Sanford Bismarck CurrentSince Jul 26, 2016 Accepting new patients
Trinity Health CurrentSince Oct 19, 2023 Accepting new patients
Altru Health System CurrentSince Apr 10, 2017 Accepting new patients
St Alexius Medical Center CurrentSince Jan 11, 2024 Accepting new patients
Trinity Health Current Accepting new patients
Trinity Health CurrentSince Oct 19, 2023 Accepting new patients
St. Alexius Medical Center CurrentSince Jan 11, 2024 Accepting new patients
Lutheran Charity Association Current Accepting new patients
Altru Health System CurrentSince Apr 10, 2017 Accepting new patients
Lutheran Charity Association CurrentSince Dec 18, 2016 Accepting new patients
Constance G. Arnold, M.D.,P.C. Past Accepting new patients
Trinity Hospitals Past Accepting new patients

Locations

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

600 John Deere Rd
Ste 301
Moline, IL 61265
Phone (309) 779-4400

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

2560 24th St
Ste 202
Rock Island, IL 61201
Phone (309) 786-3395

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

222 N 7th St
Bismarck, ND 58501
Phone (701) 323-5422

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050

2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550

101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286

Interoperability endpoints

  • Direct secure messaging: mjohnson991031@direct.unitypoint.org
  • Direct secure messaging: mjohnson465260@achce.catholichealth.net

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 8

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1306829445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5010",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 37TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017669",
            "telephone_number": "701-418-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Mitchell St",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702323",
            "country_code": "US",
            "telephone_number": "231-487-1000",
            "fax_number": "231-487-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "WINTERS",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301054807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3396567-10",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.