Active NPI
William J Johnston, MD
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1518949593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01050898A
- Practice address
- 610 E Southport Rd
Suite 205
Indianapolis, IN 46227-8590 - Phone
- (317) 781-7370
- Fax
- (317) 782-8880
- NPI assigned
- Nov 16, 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 | 01050898A | IN | Primary |
Addresses
Primary practice location
610 E Southport Rd
Suite 205
Indianapolis, IN 46227-8590
Mailing address
PO Box 664056
Indianapolis, IN 46266-4056
Phone (317) 859-3737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200206050A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01050898A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Hospital & Health Centers | Family Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Emergency Physicians of Indianapolis, PC | Past | Accepting new patients |
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.
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- Emergency Medicine Physician
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- NPI 1770538340
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
dba Center Grove Family Medicine
- Family Medicine Physician
- Greenwood, IN
- NPI 1851331268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1518949593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 664056",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462664056",
"telephone_number": "317-859-3737",
"fax_number": "317-859-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E SOUTHPORT RD",
"address_2": "SUITE 205",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462278590",
"telephone_number": "317-781-7370",
"fax_number": "317-782-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01050898A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200206050A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.