Abimbola Johnson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

257 Issued in MN

Practice address

640 Jackson St
Saint Paul, MN 55101-2502

Phone

(651) 254-3456

NPI assigned

Jul 13, 2018

Last updated

Jul 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

R Franklin University of Med & Sci/Chicago Medical School, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Foot and Ankle Institute a Podiatric Surgical CenterGroup PAC ID 3971493347, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
• Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ajohnsonfootankleinstitute.com@weil.emadirect.md

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.

• University Foot and Ankle Institute a Podiatric Surgical Center

  dba University Foot & Ankle Institute

  • Podiatrist
  • Santa Monica, CA
  • NPI 1912014986

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Foot & Ankle Health Center of Santa Barbara PC

  • Podiatrist
  • Santa Barbara, CA
  • NPI 1538014451
  Medicare reassignment NPD
• University Foot and Ankle Institute a Podiatric Surgical Center

  dba University Foot & Ankle Institute

  • Foot & Ankle Surgery Podiatrist
  • Valencia, CA
  • NPI 1881438273
  NPD
• University Foot and Ankle Institute a Podiatric Surgical Center

  • Podiatrist
  • Manhattan Beach, CA
  • NPI 1083721054

  Foot & Ankle Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Goleta Valley Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1225038136
  Care Compare affiliation
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  Care Compare affiliation

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1659857654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 6TH ST E APT 324",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ABIMBOLA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Michelle Johnson-Clark, LPCC
• Michelle Marie Johnson-Dupre, LPC
• Amy Elizabeth Johnson-Grass, ND, LM, LN, CPM
• Eada Johnson-Raab, SPEECH-LANGUAGE PATH
• Jennifer Johnson-Schmidt, RRT
• Al-Nasir Muhammad Ali Johnson I
• Amanda Suzanne Johnson, PT
• Amy Johnson
• Andrea Johnson
• Anne I Johnson, CNM

• Foot & Ankle Surgery Podiatrist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.