Individual provider Active NPI

Fielding Johnson III, M.D.

  • Pulmonary Disease Physician
  • East Hartford, CT
National Provider Identifier
1346336237
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
038695 Issued in CT
Practice address
893 Main St Ste 202
East Hartford, CT 06108-2293
Phone
(860) 528-4124
Fax
(860) 282-1213
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 038695 CT
Pulmonary Disease Physician 207RP1001X 038695 CT Primary

Addresses

Primary practice location

893 Main St Ste 202
East Hartford, CT 06108-2293

Mailing address

7 Falcon LN
Glastonbury, CT 06033-2731
Phone (860) 633-6706

Other practice location 1

10 Jefferson St
Suite C-2
Hartford, CT 06106-2515
Phone (860) 727-8885

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fjohnson34859@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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
I20040114000083 CT Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0345140927 Reassigns benefits to 4 organizations
I20260402001396 MA Practitioner - Internal Medicine 0345140927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Practice addresses (Care Compare)

893 Main St
Suite 202
East Hartford, CT 06108-2293
Phone (860) 528-4124

Hospital & facility affiliations

  • Trinity Hill Care Center Nursing home, Hartford, CT, CCN 075268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038695CTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare, PC Critical Care Medicine CurrentSince Oct 27, 2014 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Oct 27, 2014 Accepting new patients

Locations

893 Main St
Ste 202
East Hartford, CT 06108
Phone (860) 247-2137

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1346336237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FALCON LN",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332731",
            "telephone_number": "860-633-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 MAIN ST STE 202",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082293",
            "telephone_number": "860-528-4124",
            "fax_number": "860-282-1213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Jefferson St",
            "address_2": "SUITE C-2",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061062515",
            "country_code": "US",
            "telephone_number": "860-727-8885",
            "fax_number": "860-241-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FIELDING",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "038695",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "038695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fjohnson34859@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Prime Healthcare Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "893 Main St Ste 202",
            "city": "East Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061082293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.