Active NPI
John R Johnston, MD
- Family Medicine Physician
- Webster, TX
National Provider Identifier
1477547651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H5457
- Practice address
- 250 Blossom St
Ste 310
Webster, TX 77598-4204 - Phone
- (281) 724-0190
- Fax
- (281) 724-0191
- NPI assigned
- Sep 2, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H5457 | TX | Primary |
Addresses
Primary practice location
250 Blossom St
Ste 310
Webster, TX 77598-4204
Mailing address
250 Blossom St
Ste 310
Webster, TX 77598-4204
Phone (281) 724-0190
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87588Z | Other | TX | HMO BLUE |
| 118994602 | Medicaid | TX | |
| 86Z066 | Other | TX | BCBS |
| 42165050 | Other | TX | AETNA |
| 080098209 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 3, 2023 through Jul 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Past | Accepting new patients | |
| Texas Gulf Coast Medical System, Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- john.johnston.1@14869.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Webster, TX
- NPI 1962512160
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1477547651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 BLOSSOM ST",
"address_2": "STE 310",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984204",
"telephone_number": "281-724-0190",
"fax_number": "281-724-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BLOSSOM ST",
"address_2": "STE 310",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984204",
"telephone_number": "281-724-0190",
"fax_number": "281-724-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "JOHN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H5457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "87588Z",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118994602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86Z066",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "42165050",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080098209",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.