Active NPI
Sujit Elias Johnston, DPM
- Student in an Organized Health Care Education/Training Program
- Fort Myers, FL
National Provider Identifier
1346945003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 12670 Creekside LN Ste 202
Fort Myers, FL 33919-3370 - Phone
- (623) 241-8682
- Fax
- (484) 499-8459
- NPI assigned
- Apr 3, 2023
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4769 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
12670 Creekside LN Ste 202
Fort Myers, FL 33919-3370
Mailing address
12670 Creekside LN Ste 202
Fort Myers, FL 33919-3370
Phone (623) 241-8682
Other practice location 1
Baylor Scott & White Healthcare 2401 South 31st Street
Temple, TX 76508-0001
Phone (254) 935-5750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230828003982 | TX | Order and Referring Only - Podiatry | 4880057553 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1346945003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12670 CREEKSIDE LN STE 202",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193370",
"telephone_number": "623-241-8682",
"fax_number": "484-499-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12670 CREEKSIDE LN STE 202",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193370",
"telephone_number": "623-241-8682",
"fax_number": "484-499-8459"
}
],
"practiceLocations": [
{
"address_1": "Baylor Scott & White Healthcare 2401 South 31st Street",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765080001",
"country_code": "US",
"telephone_number": "254-935-5750",
"fax_number": "254-935-5751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSTON",
"first_name": "SUJIT",
"middle_name": "ELIAS",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4769",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.