Matthew Robert Johnson, MD, MPH

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

7024 Issued in SD

Practice address

575 N Sioux Point Rd
Dakota Dunes, SD 57049

Phone

(605) 217-2667

Fax

(605) 217-2900

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SD, IA, NE3 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 3

Specialty

Neurosurgery

Education

University of Nebraska College of Medicine, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Cnos PCGroup PAC ID 4284548942, 98 clinicians

Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089
• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
• Cherokee Regional Medical Center Hospital, Cherokee, IA, CCN 161362
• Floyd Valley Healthcare Hospital, Le Mars, IA, CCN 161368
• Buena Vista Regional Medical Center Hospital, Storm Lake, IA, CCN 161375

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthewjohnson@cnos.allscriptsdirect.net
• Direct secure messaging: mjohnson128259@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cnos PC

  • Orthopaedic Surgery Physician
  • Dakota Dunes, SD
  • NPI 1881604320

  IA, NE, Neurological Surgery

  Medicare reassignment Care Compare group NPD
• Sports Rehab and Professional Therapy Associates Inc

  dba Sports Rehab & Professional Therapy

  • Rehabilitation Clinic/Center
  • Storm Lake, IA
  • NPI 1033289749
  Care Compare group
• Cnos, PC

  • Orthopaedic Surgery Physician
  • South Sioux City, NE
  • NPI 1750047304
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Siouxland Surgery Center Limited Liability Partnership

  dba Dunes Surgical Hospital

  • Special Hospital
  • Dakota Dunes, SD
  • NPI 1093714073
  Care Compare affiliation
• Buena Vista Regional Medical Center

  • Critical Access Hospital
  • Storm Lake, IA
  • NPI 1134191653
  Care Compare affiliation
• Floyd Valley Healthcare

  • Critical Access Hospital
  • Le Mars, IA
  • NPI 1326109315
  Care Compare affiliation
• Northwest Iowa Hospital Corporation

  dba St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622
  Care Compare affiliation
• Sioux Valley Memorial Hospital Association

  dba Cherokee Regional Medical Center

  • Critical Access Hospital
  • Primghar, IA
  • NPI 1689640500
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1376688150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312",
            "telephone_number": "605-217-2667",
            "fax_number": "605-217-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "57049",
            "telephone_number": "605-217-2667",
            "fax_number": "605-217-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IA",
            "license": "37278",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NE",
            "license": "4526",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SD",
            "license": "7024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Howenstein DMD Ms PC
• Anne C Jeneary, PA
• Brian Douglas Johnson, M.D.
• Clifford Johnson, DPT
• Jessica Johnson
• Paul Eric Johnson, MD
• Sara J Johnson, OT
• Todd Christopher Johnson, M.D.
• Steven Paul Joyce, M.D.
• Cassidy Kascht

• Neurological Surgery Physician in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Neurological Surgery Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.

Verify at the official NPI Registry.