Active NPI
Milton James Johnson, M.D.
- Family Medicine Physician
- Hermiston, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD12128
- Practice address
- 1050 W Elm Ave Ste 110
Hermiston, OR 97838-2713 - Phone
- (541) 567-2995
- Fax
- (541) 567-7720
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M5297 | ID | |
| Family Medicine Physician | 207Q00000X | MD12128 | OR | Primary |
Addresses
Primary practice location
1050 W Elm Ave Ste 110
Hermiston, OR 97838-2713
Mailing address
620 NW 11TH St Ste M201
Hermiston, OR 97838-6941
Phone (541) 289-4118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 NW 11TH St
Suite E37
Hermiston, OR 97838-8604
Phone (541) 667-3400
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.82 of 100
- Quality
- 64.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 47.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5297 | ID | MD | Family Medicine Physician |
| MD12128 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Kootenai Health, Inc. | Past | Accepting new patients |
Locations
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
1050 W Elm Ave
Ste 110
Hermiston, OR 97838
Phone (541) 564-6411
600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305
620 NW 11th St
Ste M201
Hermiston, OR 97838
Interoperability endpoints
- mjohnson283335@direct.lhs.org
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- Pediatrics Physician
- Hermiston, OR
- NPI 1336198159
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1346359494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 NW 11TH ST STE M201",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978386941",
"telephone_number": "541-289-4118",
"fax_number": "541-667-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W ELM AVE STE 110",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978382713",
"telephone_number": "541-567-2995",
"fax_number": "541-567-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MILTON",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M5297",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD12128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.