Individual provider Active NPI

Robert Ernest Johnson, D.O

  • Orthopaedic Surgery Physician
  • Plano, TX
National Provider Identifier
1497069868
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
Q4148 Issued in TX
Practice address
6020 W Parker Rd
Suite 200
Plano, TX 75093-8171
Phone
(972) 608-5000
Fax
(972) 608-5020
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Q4148 TX Primary

Addresses

Primary practice location

6020 W Parker Rd
Suite 200
Plano, TX 75093-8171

Mailing address

7664 William Cir
West Jordan, UT 84084-3717
Phone (801) 808-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20161020001251 ID Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 7810209442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Orthopaedics Management and Consulting, LLCGroup PAC ID 6204731227, 10 clinicians

Practice addresses (Care Compare)

1595 Yellowstone Ave
Pocatello, ID 83201-4203
Phone (208) 233-0032

2321 Coronado St
Idaho Falls, ID 83404-7407

3720 Woodking Dr
Idaho Falls, ID 83404-4720
Phone (208) 227-1100

Hospital & facility affiliations

  • Enhabit Home Health of Eastern Idaho Home health agency, Idaho Falls, ID, CCN 137105
  • Enhabit Home Health of Idaho Home health agency, Twin Falls, ID, CCN 137100
  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
  • Idaho Falls Community Hospital, LLC Hospital, Idaho Falls, ID, CCN 130074
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion75
Laminectomy or laminotomy (partial removal of spine bones)20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4148TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Orthopaedics Management and Consulting, LLC Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
BMH Inc Current Accepting new patients
Summit Orthopaedics Management and Consulting, LLC Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients

Locations

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

3720 Woodking Dr
Idaho Falls, ID 83404
Phone (208) 227-1100

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032

Interoperability endpoints

  • Direct secure messaging: robertjohnson@bmh.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1497069868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7664 WILLIAM CIR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843717",
            "telephone_number": "801-808-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938171",
            "telephone_number": "972-608-5000",
            "fax_number": "972-608-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q4148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.