Individual provider Active NPI

Martin Lloyd Johnson, M.D.

  • Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1538162201
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
E4435 Issued in TX
Practice address
2833 Babcock Rd
San Antonio, TX 78229-5390
Phone
(210) 705-6300
NPI assigned
May 24, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 11854 AZ
Plastic Surgery Physician 208200000X 37362 CA
Plastic Surgery Physician 208200000X E4435 TX Primary

Addresses

Primary practice location

2833 Babcock Rd
San Antonio, TX 78229-5390

Mailing address

664 W 1St St
Claremont, CA 91711-4547
Phone (602) 618-8993

Other practice location 1

13090 N 94th Dr
Suite 101
Peoria, AZ 85381-4256
Phone (623) 977-2331

Other practice location 2

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000

Other practice location 3

255 E Bonita Ave
Pomona, CA 91767-1933
Phone (909) 896-7733

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mjohnson394835@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20220414001471 CA Practitioner - Plastic and Reconstructive Surgery 3072764299
I20240618001933 TX Practitioner - Plastic and Reconstructive Surgery 3072764299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Baylor College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians UnityGroup PAC ID 6406014919, 61 clinicians

Practice addresses (Care Compare)

2833 Babcock Rd
Suite 105
San Antonio, TX 78229-4894
Phone (210) 705-5030

Hospital & facility affiliations

  • Prime Home Health, LLC Home health agency, San Antonio, TX, CCN 453194
  • Christus Vna Homecare San Antonio Home health agency, San Antonio, TX, CCN 457777
  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335
  • University Health System Hospital, San Antonio, TX, CCN 450213
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue179
Removal of skin lesions18
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37362CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Unity CurrentSince Jun 11, 2024 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Nca Holdings of Arizona, LLC Past Accepting new patients

Locations

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

598 N Union Ave
Ste 335
New Braunfels, TX 78130
Phone (830) 606-9111

2833 Babcock Rd
Ste 105
San Antonio, TX 78229
Phone (210) 269-2060

2833 Babcock Rd
San Antonio, TX 78229
Phone (210) 450-9890

11212 State Highway 151
Ste 300
San Antonio, TX 78251
Phone (210) 703-8200

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

11212 State Highway 151
Ste 12
San Antonio, TX 78251

1305 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 353-6430

Interoperability endpoints

  • Direct secure messaging: mjohnson433507@christushealth.direct-ci.net
  • Direct secure messaging: casacolina@direct.casacolina.org

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 10

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1538162201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 W 1ST ST",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114547",
            "telephone_number": "602-618-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295390",
            "telephone_number": "210-705-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13090 N 94th Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814256",
            "country_code": "US",
            "telephone_number": "623-977-2331",
            "fax_number": "623-977-2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13400 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595452",
            "country_code": "US",
            "telephone_number": "480-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 E Bonita Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917671933",
            "country_code": "US",
            "telephone_number": "909-896-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARTIN",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "11854",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "37362",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "E4435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjohnson394835@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.