Individual provider Active NPI

William S Johnson III, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • La Place, LA
National Provider Identifier
1619985819
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
L019071 Issued in LA
Practice address
502 Rue de Sante
Suite 106
La Place, LA 70068-5424
Phone
(985) 653-5570
Fax
(985) 653-5575
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X L019071 LA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X L019071 LA Primary

Addresses

Primary practice location

502 Rue de Sante
Suite 106
La Place, LA 70068-5424

Mailing address

502 Rue de Sante
Suite 106
La Place, LA 70068-5424
Phone (985) 653-5570

Other identifiers 7

IdentifierTypeStateIssuer
82565OtherCOVENTRY
200045514OtherRAILROAD MEDICARE
173972500OtherUS DEPT OF LABOR
1958999MedicaidLA
8710244002OtherCIGNA
4513032OtherAETNA
0900158OtherUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040913000054 LA Practitioner - Orthopedic Surgery 8426024100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Sports Specialists of Louisiana LLCGroup PAC ID 5991893869, 25 clinicians

Practice addresses (Care Compare)

1731 Lutcher Ave
Suite 1500
Lutcher, LA 70071-5151
Phone (985) 625-2200

465 Belle Terre Blvd
La Place, LA 70068-2437
Phone (985) 625-2200

726 N Acadia Rd
Suite 1000
Thibodaux, LA 70301-5051
Phone (985) 625-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.29 of 100Reported as group
Quality
64.64
Promoting interoperability
99
Improvement activities
40
Cost
73.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L019071LAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Sports Specialists of Louisiana LLC Orthopaedic Surgery CurrentSince Aug 1, 2018 Accepting new patients
Orthopaedic Sports Specialists of Louisiana, LLC Orthopaedic Surgery CurrentSince Aug 1, 2018 Accepting new patients

Locations

465 Belle Terre Blvd
La Place, LA 70068
Phone (985) 623-2200

1731 Lutcher Ave
Ste 1500
Lutcher, LA 70071

726 N Acadia Rd
Ste 1000
Thibodaux, LA 70301

Interoperability endpoints

  • Direct secure messaging: wjohnson@riverregionortho.mdlogic.direct-ci.com
  • Direct secure messaging: wjohnson@ortho-la.emadirect.md

Organizations & group practices 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619985819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RUE DE SANTE",
            "address_2": "SUITE 106",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685424",
            "telephone_number": "985-653-5570",
            "fax_number": "985-653-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 RUE DE SANTE",
            "address_2": "SUITE 106",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685424",
            "telephone_number": "985-653-5570",
            "fax_number": "985-653-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "L019071",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "LA",
            "license": "L019071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "82565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200045514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "173972500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1958999",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8710244002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4513032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0900158",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

Verify at the official NPI Registry.