Active NPI
Martin Lloyd Johnson, M.D.
- Plastic Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- E4435
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mjohnson394835@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Christus Vna Homecare San Antonio
- Christus Santa Rosa Medical Center
- Christus Santa Rosa Hospital-San Marcos
- Ut Health San Antonio Multispecialty & Research Ho
- University Health System
- Methodist Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 179 |
| Removal of skin lesions | 18 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37362 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Unity | Current | 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
- mjohnson433507@christushealth.direct-ci.net
- 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.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1679878268
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
-
- Internal Medicine Physician
- Peoria, AZ
- NPI 1184973018
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
-
- General Acute Care Hospital
- New Braunfels, TX
- NPI 1114725033
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
-
- General Acute Care Hospital
- San Marcos, TX
- NPI 1447883301
-
- Home Health Agency
- San Antonio, TX
- NPI 1962926642
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
- Home Health Agency
- San Antonio, TX
- NPI 1649813874
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.