Individual provider Active NPI

Eli Robin Johnson, D.O.

  • Neurology Physician
  • Little Rock, AR
National Provider Identifier
1508268301
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E-18208 Issued in AR
Practice address
9600 Baptist Health Dr Ste 320
Little Rock, AR 72205-6322
Phone
(501) 227-0421
Fax
(501) 227-0105
NPI assigned
Sep 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E-18208 AR Primary

Addresses

Primary practice location

9600 Baptist Health Dr Ste 320
Little Rock, AR 72205-6322

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 227-0421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210915003684 CA Practitioner - Neurology 5698172799 Reassigns benefits to 1 organization
I20240910001556 AR Practitioner - Neurology 5698172799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

9600 Baptist Health Dr
Suite 320
Little Rock, AR 72205-6322
Phone (501) 227-0421

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-18208ARMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Neurosurgical Medical Group, Inc. CurrentSince Jun 2, 2021 Accepting new patients
Arkansas Health Group Neurology CurrentSince Jul 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 2024 Accepting new patients
Dignity Health Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

11001 Executive Center Dr
Little Rock, AR 72211
Phone (501) 812-7215

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9600 Baptist Health Dr
Ste 320
Little Rock, AR 72205

9601 Baptist Health Dr
Ste 250
Little Rock, AR 72205
Phone (501) 217-4910

26520 Cactus Ave
Ste A2006
Moreno Valley, CA 92555
Phone (951) 486-4460

1180 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 340-1003

1080 N Indian Canyon Dr
Ste 201
Palm Springs, CA 92262
Phone (760) 325-5811

255 Terracina Blvd
Ste 104B
Redlands, CA 92373
Phone (909) 793-3293

Interoperability endpoints

  • Direct secure messaging: eli.johnson@307923798327300.direct.elationemr.com
  • Direct secure messaging: eli.johnson@238922022125572.direct.elationemr.com
  • Direct secure messaging: ejohnson752566@direct.baptist-healthar.org

Organizations & group practices 5

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 1

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1508268301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-227-0421",
            "fax_number": "501-227-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BAPTIST HEALTH DR STE 320",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056322",
            "telephone_number": "501-227-0421",
            "fax_number": "501-227-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELI",
        "middle_name": "ROBIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E-18208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.