Individual provider Active NPI

James R Johnson, DO

  • Internal Medicine Physician
  • Trenton, MI
National Provider Identifier
1316901754
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101014114 Issued in MI
Practice address
5400 Fort St
Suite 130
Trenton, MI 48183-4632
Phone
(734) 362-7100
Fax
(734) 671-1768
NPI assigned
Apr 13, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101014114 MI Primary

Addresses

Primary practice location

5400 Fort St
Suite 130
Trenton, MI 48183-4632

Mailing address

5400 Fort St
Suite 130
Trenton, MI 48183-4632
Phone (734) 362-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050609000675 MI Practitioner - Internal Medicine 1456394469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5400 Fort St
Suite 130
Trenton, MI 48183-4627
Phone (734) 362-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101014114MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Family Health PLLC Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Advantage Health Services PLC Current Accepting new patients
Prestige Health Services PLC Internal Medicine CurrentSince Jun 1, 2007 Accepting new patients

Locations

19020 Fort St
Riverview, MI 48193
Phone (313) 362-5100

5400 Fort St
Ste 130
Trenton, MI 48183
Phone (734) 362-1200

5400 Fort St
Ste 230
Trenton, MI 48183
Phone (734) 362-7100

Organizations & group practices 3

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 6

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1316901754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FORT ST",
            "address_2": "SUITE 130",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834632",
            "telephone_number": "734-362-7100",
            "fax_number": "734-671-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 FORT ST",
            "address_2": "SUITE 130",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834632",
            "telephone_number": "734-362-7100",
            "fax_number": "734-671-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101014114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

Verify at the official NPI Registry.