Shalini Johnson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301102140 Issued in MI

Practice address

404 W Sharon Ave
Houghton, MI 49931-1980

Phone

(906) 482-5230

Fax

(906) 482-5343

NPI assigned

May 22, 2007

Last updated

Aug 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Ophthalmology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus KeweenawGroup PAC ID 8123912011, shared by 7 NPIs, 116 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspirus Keweenaw

  dba Aspirus Ontonagon Clinic

  • Rural Health Clinic/Center
  • Ontonagon, MI
  • NPI 1023161932
  NPD
• Aspirus Keweenaw

  dba Aspirus Laurium Clinic

  • Rural Health Clinic/Center
  • Laurium, MI
  • NPI 1205998713
  NPD
• Aspirus Keweenaw

  dba Aspirus Houghton Clinic

  • Rural Health Clinic/Center
  • Houghton, MI
  • NPI 1215092572
  NPD
• Aspirus Keweenaw

  dba Aspirus Keweenaw Hospital

  • Critical Access Hospital
  • Laurium, MI
  • NPI 1326115569
  NPD
• Lansing Ophthalmology, P.C.

  dba LO Eye Care

  • Optometrist
  • East Lansing, MI
  • NPI 1265415301

  Ophthalmology

  NPD (past)
• Lansing Ophthalmology, P.C.

  dba LO Eye Care

  • Ophthalmology Physician
  • East Lansing, MI
  • NPI 1962485342
  NPD (past)
• Virdi Eye Clinic of Iowa, P.C.

  • Ophthalmology Physician
  • Muscatine, IA
  • NPI 1538139357
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1629287040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W SHARON AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311980",
            "telephone_number": "906-482-5230",
            "fax_number": "906-482-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W SHARON AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311980",
            "telephone_number": "906-482-5230",
            "fax_number": "906-482-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHALINI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "R-7958",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301102140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Berryman Chiropractic, PLLC (North Point Chiropractic)
• Chad Robert Johnson, LBSW
• Diane Sue Johnson, R.N.
• Katharine Johnson, PT
• Rebecca B Johnson, D.D.S.
• Lance Kangas
• Rick Lee Kavorik, DDS
• Deborah Ann Kemppainen, R.N.
• Annette Kristiin Keranen, PTA
• Keweenaw Counseling Services PLLC

• Ophthalmology Physician in Houghton, MI
• Providers in Houghton, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.

Verify at the official NPI Registry.