Individual provider Active NPI

Paul A Johnson, MD

  • Gastroenterology Physician
  • Salina, KS
National Provider Identifier
1720043045
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
04-24364 Issued in KS
Practice address
520 S Santa Fe Ave Ste 240
Salina, KS 67401-4190
Phone
(785) 452-6440
Fax
(785) 452-6441
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 04-24364 KS Primary

Addresses

Primary practice location

520 S Santa Fe Ave Ste 240
Salina, KS 67401-4190

Mailing address

520 S Santa Fe Ave Ste 240
Salina, KS 67401-4190
Phone (785) 452-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050415000797 KS Practitioner - Gastroenterology 3375580798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Kansas School of Med (KC/Wich/Sal), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians
Mowery Clinic LLCGroup PAC ID 3375539349, 21 clinicians

Practice addresses (Care Compare)

1604 Aylward Ave
Ellsworth, KS 67439-2541
Phone (785) 452-6440

400 S Santa Fe Ave
Salina, KS 67401-4144

401 S Santa Fe Ave
Salina, KS 67401-4143
Phone (785) 452-6440

501 S Santa Fe Ave
Salina, KS 67401-4189

737 E Crawford
Salina, KS 67401-5103

737 E Crawford St
Salina, KS 67401-5103
Phone (785) 827-7261

Hospital & facility affiliations

  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012
  • Salina Surgical Hospital Hospital, Salina, KS, CCN 170187
  • Ellsworth County Medical Center Hospital, Ellsworth, KS, CCN 171327
  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Memorial Hospital Hospital, Abilene, KS, CCN 171381

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
91.42
Promoting interoperability
90
Improvement activities
40
Cost
64.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy536
Upper gastrointestinal (GI) endoscopy for acid reflux789

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-24364KSMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mowery Clinic LLC Gastroenterology CurrentSince Jul 8, 1996 Accepting new patients
Salina Regional Health Center Inc Gastroenterology CurrentSince Jun 1, 2025 Accepting new patients
Salina Regional Health Center, Inc Current Accepting new patients
Salina Regional Health Center Inc CurrentSince Jun 1, 2025 Accepting new patients
Comcare, P.a Past Accepting new patients

Locations

155 W College Dr
Concordia, KS 66901
Phone (785) 243-1234

1604 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111

401 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6440

520 S Santa Fe Ave
Ste 240
Salina, KS 67401
Phone (785) 452-6440

737 E Crawford St
Salina, KS 67401
Phone (785) 827-7261

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d29c89d3-f6e3-483d-8d3d-4a628849f568/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kancover Home Health LLCBennington, KS, CCN 178139 Home health agency W-2 Managing Employee May 11, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 5

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1720043045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE STE 240",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014190",
            "telephone_number": "785-452-6440",
            "fax_number": "785-452-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE STE 240",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014190",
            "telephone_number": "785-452-6440",
            "fax_number": "785-452-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "04-24364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.