Individual provider Active NPI

Joe Eric Johnston, MD

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1679507123
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M1805 Issued in TX
Practice address
18707 Hardy Oak Blvd Ste 210
San Antonio, TX 78258-4803
Phone
(210) 593-2500
Fax
(210) 593-2501
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M1805 TX Primary

Addresses

Primary practice location

18707 Hardy Oak Blvd Ste 210
San Antonio, TX 78258-4803

Mailing address

4383 Medical Dr
San Antonio, TX 78229-3307
Phone (210) 593-2584

Other identifiers 1

IdentifierTypeStateIssuer
166471603MedicaidTX

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
I20040804000824 TX Practitioner - General Surgery 6608847439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1420 River Rd
Suite 200
Boerne, TX 78006-1994
Phone (210) 593-5700

155 E Sonterra Blvd
Suite 200
San Antonio, TX 78258-3989
Phone (210) 593-5700

18707 Hardy Oak Blvd
Suite 210
San Antonio, TX 78258-4803
Phone (210) 593-2500

4383 Medical Dr
San Antonio, TX 78229-3307
Phone (210) 593-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
62.04
Promoting interoperability
90
Improvement activities
40
Cost
84.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)21
Hernia repair (minimally invasive)21
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Oncology and Hematology, PLLC CurrentSince Aug 1, 2017 Accepting new patients
South Texas Oncology and Hematology, PLLC CurrentSince Aug 1, 2017 Accepting new patients

Locations

1420 River Rd
Ste 200
Boerne, TX 78006
Phone (830) 816-2552

1303 McCullough Ave
Ste 265
San Antonio, TX 78212
Phone (210) 224-0402

155 E Sonterra Blvd
Ste 200
San Antonio, TX 78258
Phone (210) 593-2584

4383 Medical Dr
San Antonio, TX 78229
Phone (210) 593-2584

18707 Hardy Oak Blvd
Ste 210
San Antonio, TX 78258
Phone (210) 593-2500

5715 Rogers Rd
San Antonio, TX 78251

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679507123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293307",
            "telephone_number": "210-593-2584",
            "fax_number": "210-593-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584803",
            "telephone_number": "210-593-2500",
            "fax_number": "210-593-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JOE",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M1805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166471603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.