Active NPI
Robert L Johnson, M.D.
- Maternal & Fetal Medicine Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 17150
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273053 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17150 | AZ | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Current | 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
- 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
dba Valleywise Health
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
dba Valleywise Health
- Adult Mental Health Clinic/Center
- Avondale, AZ
- NPI 1043679327
-
dba Maricopa Integrated Heatlh
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1306265145
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.