Individual provider Active NPI

Robert L Johnson, M.D.

  • Maternal & Fetal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1407825045
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
17150 Issued in AZ
Practice address
18699 N 67TH Ave
Suite 310
Glendale, AZ 85308-7140
Phone
(623) 362-2266
Fax
(623) 362-2412
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 17150 AZ Primary

Addresses

Primary practice location

18699 N 67TH Ave
Suite 310
Glendale, AZ 85308-7140

Mailing address

6301 S McClintock Dr
Suite 115
Tempe, AZ 85283-3392
Phone (480) 897-0242

Other identifiers 1

IdentifierTypeStateIssuer
273053MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161017001679 AZ Practitioner - Obstetrics/Gynecology 1254629744 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17150AZMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District Current Accepting new patients
Maricopa County Special Health Care District CurrentSince Mar 1, 2018 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2018 Accepting new patients
Maricopa County Special Health Care District CurrentSince Mar 1, 2018 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2525 E Roosevelt St
Fl 2
Phoenix, AZ 85008

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

Interoperability endpoints

  • Direct secure messaging: rjohnson172203@direct.valleywisehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407825045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 S MCCLINTOCK DR",
            "address_2": "SUITE 115",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833392",
            "telephone_number": "480-897-0242",
            "fax_number": "480-897-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18699 N 67TH AVE",
            "address_2": "SUITE 310",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087140",
            "telephone_number": "623-362-2266",
            "fax_number": "623-362-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "17150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273053",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.