Active NPI
Byron W Johnson, M.D.
- Diagnostic Radiology Physician
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036098115
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131574400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NY, OK, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Ingalls Memorial Hospital
- Integris Baptist Medical Center, Inc
- Stafford Hospital, LLC
- Jackson Park Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101286272 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Diagnostic Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| St. Francis Cardiac Prevention Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Mary Washington Healthcare Providers LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Partners of Iowa Inc | Diagnostic Radiology | Current | Accepting new patients |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Columbus Diagnostic Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Radiology Associates of Appleton, S.C. | Diagnostic Radiology | Current | 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
- bjohnson136328@marywashingtonhealthcare.direct-ci.com
- 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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1750826277
Diagnostic Radiology, IL
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
IL
-
- Diagnostic Radiology Physician
- Appleton, WI
- NPI 1841229093
IL
-
- Diagnostic Radiology Physician
- Melville, NY
- NPI 1376952804
-
- Diagnostic Radiology Physician
- Altamonte Springs, FL
- NPI 1386034346
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
- General Acute Care Hospital
- Stafford, VA
- NPI 1043343304
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.