Individual provider Active NPI

Robert K Johnson, M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1659495950
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22407 Issued in AZ
Practice address
4001 E Sunrise Dr
Suite 120
Tucson, AZ 85718-4333
Phone
(520) 209-7018
Fax
(520) 529-2952
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22407 AZ Primary

Addresses

Primary practice location

4001 E Sunrise Dr
Suite 120
Tucson, AZ 85718-4333

Mailing address

4001 E Sunrise Dr
Tucson, AZ 85718-4333
Phone (520) 209-7018

Other identifiers 1

IdentifierTypeStateIssuer
285206MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040624000122 AZ Practitioner - Family PracticePractitioner - Emergency Medicine 9638154487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

5369 S Calle Santa Cruz
Suite 145
Tucson, AZ 85706-3963
Phone (520) 573-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22407AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC CurrentSince Feb 25, 2024 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Nov 30, 2012 Accepting new patients
Nextcare Arizona LLC CurrentSince Apr 23, 2020 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Nov 30, 2012 Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Northwest Hospital LLC Family Medicine Past Accepting new patients
Northwest Rancho Vistoso Imaging Services LLC Past Accepting new patients
Nextcare Primary Care Arizona LLC Family Medicine Past Accepting new patients
Swea, P.C. Past Accepting new patients

Locations (25 of 56)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

1155 W Ocotillo Rd
Ste 4
Chandler, AZ 85248
Phone (480) 374-7400

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

399 S Malpais Ln
Ste 100
Flagstaff, AZ 86001
Phone (928) 286-8830

6343 S Higley Rd
Gilbert, AZ 85298
Phone (480) 748-2712

5410 W Thunderbird Rd
Ste 101
Glendale, AZ 85306
Phone (602) 530-6189

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

17688 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 889-6823

1295 W Duval Mine Rd
Ste 131
Green Valley, AZ 85614
Phone (520) 399-2027

400 W Camino Casa Verde
#1
Green Valley, AZ 85614
Phone (520) 625-1760

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215
Phone (480) 289-7890

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

3130 E Baseline Rd
Ste 105
Mesa, AZ 85204
Phone (480) 497-5933

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

298 W Mariposa Rd
Ste 2
Nogales, AZ 85621
Phone (520) 394-7388

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491

Interoperability endpoints

  • Direct secure messaging: robert.johnson.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1659495950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E SUNRISE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184333",
            "telephone_number": "520-209-7018",
            "fax_number": "520-529-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E SUNRISE DR",
            "address_2": "SUITE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184333",
            "telephone_number": "520-209-7018",
            "fax_number": "520-529-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "22407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285206",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.