Individual provider Active NPI

Osiris Johnson

  • Emergency Medicine Physician
  • Aventura, FL
National Provider Identifier
1629632989
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T7255 Issued in TX
Practice address
20900 Biscayne Blvd Ste 821
Aventura, FL 33180-1407
Phone
(813) 470-0577
NPI assigned
Apr 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T7255 TX Primary

Addresses

Primary practice location

20900 Biscayne Blvd Ste 821
Aventura, FL 33180-1407

Mailing address

28802 Raindance Ave
Wesley Chapel, FL 33543-6422
Phone (813) 470-0577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220817003643 TX Practitioner - Emergency Medicine 5597148999 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians
McAllen Emergency Medicine Associates PAGroup PAC ID 1557686409, 79 clinicians

Practice addresses (Care Compare)

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

301 W Expressway
Suite 83
McAllen, TX 78503-3045
Phone (956) 632-4000

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T7255TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 30, 2024 Accepting new patients
Gulf Coast Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 8, 2026 Accepting new patients
Jasper Emergency Physicians, PLLC Emergency Medicine CurrentSince May 16, 2025 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jul 19, 2023 Accepting new patients
Christus Health Southeast Texas Past Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

8200 Highway 6
Sienna Plantation, TX 77459
Phone (713) 441-3724

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 8

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1629632989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28802 RAINDANCE AVE",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436422",
            "telephone_number": "813-470-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 BISCAYNE BLVD STE 821",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801407",
            "telephone_number": "813-470-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OSIRIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T7255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.