Individual provider Active NPI

Byron W Johnson, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1336236959
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036098115 Issued in IL
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036098115 IL Primary
Diagnostic Radiology Physician 2085R0202X ME174652 FL
Diagnostic Radiology Physician 2085R0202X 0101286272 VA

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1100

Other practice location 1

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610

Other practice location 2

52 Underwood St
Orlando, FL 32806-1110
Phone (321) 841-3900

Other identifiers 1

IdentifierTypeStateIssuer
131574400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY, OK, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050504000468 IL Practitioner - Diagnostic Radiology 5294775706 Reassigns benefits to 8 organizations
I20201028000872 NY Practitioner - Diagnostic Radiology 5294775706 Reassigns benefits to 2 organizations
I20250814005052 OK Practitioner - Diagnostic Radiology 5294775706 Reassigns benefits to 1 organization
I20260617001736 FL Practitioner - Diagnostic Radiology 5294775706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (309) 671-8282

265 S Prospect Ave
Clarendon Hills, IL 60514-1441
Phone (540) 741-5610

303 NW 11TH St
Fairfield, IL 62837-1203
Phone (309) 671-8282

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 671-8282

6701 159TH St
Suite 107
Tinley Park, IL 60477-1758
Phone (309) 671-8282

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140
  • Jackson Park Hospital Hospital, Chicago, IL, CCN 140177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101286272VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Diagnostic Center Inc Diagnostic Radiology Current Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince May 1, 2016 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 1, 2021 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jul 10, 2018 Accepting new patients
St. Francis Cardiac Prevention Services PC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Mary Washington Healthcare Providers LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Radiology Partners of Iowa Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince May 1, 2013 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Mar 21, 2017 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jul 21, 2025 Accepting new patients
CHS Physician Partners, PC CurrentSince Jan 1, 2021 Accepting new patients
Radiology Associates of Appleton, S.C. Diagnostic Radiology CurrentSince Aug 19, 2024 Accepting new patients
Elk Grove Radiology S.C. Diagnostic Radiology Past Accepting new patients
Metropolitan Advanced Radiological Services, LTD. Diagnostic Radiology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations (25 of 32)

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

2131 Comer Ave
Columbus, GA 31904
Phone (706) 323-7622

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

71 W 156th St
Ste 110
Harvey, IL 60426
Phone (708) 915-5598

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

111 Spring St
Streator, IL 61364
Phone (815) 672-4587

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

811 E Parrish Ave
Owensboro, KY 42303
Phone (270) 684-8611

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

4 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 775-4545

Interoperability endpoints

  • Direct secure messaging: bjohnson136328@marywashingtonhealthcare.direct-ci.com
  • Direct secure messaging: bjohnsonmd239486@uchospital.direct-ci.com

Organizations & group practices 21

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 21

Hospital & facility affiliations 10

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1336236959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Sam Perry Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014453",
            "country_code": "US",
            "telephone_number": "540-741-5610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "321-841-3900",
            "fax_number": "321-843-6075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BYRON",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036098115",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME174652",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101286272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131574400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.