Joshua R Johnson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085003901 Issued in IL

Practice address

400 S. Kennedy
Bradley, IL 60915

Phone

(815) 928-8050

Fax

(800) 505-2218

NPI assigned

Feb 24, 2011

Last updated

Feb 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alii Health CenterGroup PAC ID 4486984549, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019

Merit-based Incentive Payment System (MIPS)

Final score

97.05 of 100Reported as apm

Quality

89.81

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Alii Health Center

  • Multi-Specialty Clinic/Center
  • Kailua Kona, HI
  • NPI 1285107698
  Medicare reassignment Care Compare group NPD (past)
• Orthopaedics Northeast PC

  dba DBA ONE Anesthesia Services

  • Orthopaedic Surgery Physician
  • Fort Wayne, IN
  • NPI 1740268796
  Medicare reassignment NPD
• Ali'I Health Center

  dba Ali'i Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Kailua Kona, HI
  • NPI 1144949967
  NPD
• Alii Community Care, Inc.

  dba Alii Health Center

  • Specialist
  • Kealakekua, HI
  • NPI 1316242811
  NPD
• Orthopaedics Northeast PC

  dba Surgery One

  • Ambulatory Surgical Clinic/Center
  • Fort Wayne, IN
  • NPI 1417936477
  NPD

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

• Kona Hospital

  dba Kona Community Hospital

  • General Acute Care Hospital
  • Kealakekua, HI
  • NPI 1952332991
  Care Compare affiliation

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1376840421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S KENNEDY DR",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152682",
            "telephone_number": "815-928-8050",
            "fax_number": "800-505-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S. KENNEDY",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "60915",
            "telephone_number": "815-928-8050",
            "fax_number": "800-505-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085003901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight Wellness Center PLLC
• Internal Medicine Associates of Kankakee, LTD
• Olatola Omobolanle Iyi-Ojo, MD
• Jennifer Lyn James, LCPC
• Jamie J. Boudreau, LTD
• Cynthia Jones-Cameron
• Eddie Jones, MD
• Joyful Smiles Pediatric Dentistry of Bradley
• Jonathan Eric Jusko, RN, PA-C
• Becky Kalvelage-Roth, PSYD

• Medical Physician Assistant in Bradley, IL
• Providers in Bradley, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.