Individual provider Active NPI

Daniel James Johnson, M.D.

  • Emergency Medicine Physician
  • Keystone, CO
National Provider Identifier
1467686196
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0059792 Issued in CO
Practice address
1252 County Rd 8
Keystone, CO 80435-0000
Phone
(970) 486-6677
Fax
(970) 468-7908
NPI assigned
May 9, 2009
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD 445 684 PA
Emergency Medicine Physician 207P00000X DR.0059792 CO Primary

Addresses

Primary practice location

1252 County Rd 8
Keystone, CO 80435-0000

Mailing address

1252 County Rd 8
Keystone, CO 80435-0000
Phone (970) 486-6677

Other practice location 1

3778 Ridge Rd
Nederland, CO 80466-9712
Phone (314) 249-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20180611000752 CO Practitioner - Emergency Medicine 3678737665 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Saint Louis University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7000 E Hampden Ave
Denver, CO 80224-3012
Phone (330) 925-4199

860 Copper Rd
Frisco, CO 80443-5230
Phone (970) 968-2330

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
86.65
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 445 684PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Sep 15, 2022 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Sep 15, 2022 Accepting new patients
Emergency Physicians of the Rockies, PC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Emergency Physicians of the Rockies, PC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Emergency Medicine Physicians of Lawrence County LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of York County, LTD Emergency Medicine Past Accepting new patients

Locations

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

Organizations & group practices 7

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": "1241827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1467686196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 COUNTY RD 8",
            "city": "KEYSTONE",
            "state": "CO",
            "postal_code": "804350000",
            "telephone_number": "970-486-6677",
            "fax_number": "970-468-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 COUNTY RD 8",
            "city": "KEYSTONE",
            "state": "CO",
            "postal_code": "804350000",
            "telephone_number": "970-486-6677",
            "fax_number": "970-468-7908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3778 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Nederland",
            "state": "CO",
            "postal_code": "804669712",
            "country_code": "US",
            "telephone_number": "314-249-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-09",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD 445 684",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0059792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keystone, CO

Sources for this page

Verify at the official NPI Registry.