Active NPI
Sara Beth Kruger Johnson, M.D.
- Emergency Medicine Physician
- New York, NY
National Provider Identifier
1689875007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 243064
- Practice address
- 1111 Amsterdam Ave
New York, NY 10025-1716 - Phone
- (212) 523-3981
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 243064 | NY | Primary |
Addresses
Primary practice location
1111 Amsterdam Ave
New York, NY 10025-1716
Mailing address
535 W 23Rd St
Apt N4D
New York, NY 10011-1120
Phone (917) 843-0714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 40.82 of 100
- Quality
- 9.1
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 43.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243064 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| St Lukes Roosevelt Hospital Center | Emergency Medicine | Past | Accepting new patients |
| Michael S Lippe MD, PC | Past | Accepting new patients |
Locations
711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456
707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Gunnison, CO
- NPI 1932109048
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gunnison, CO
- NPI 1033990064
-
- Urgent Care Clinic/Center
- Gunnison, CO
- NPI 1477361228
-
- Primary Care Clinic/Center
- Gunnison, CO
- NPI 1578997284
-
- Personal Emergency Response Attendant
- Suffern, NY
- NPI 1205871704
-
- Emergency Medicine Physician
- New York, NY
- NPI 1134211717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689875007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 W 23RD ST",
"address_2": "APT N4D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100111120",
"telephone_number": "917-843-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "212-523-3981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER JOHNSON",
"first_name": "SARA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "243064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.