Active NPI
Thomas Hagge Johnson, M.D.
- Cardiovascular Disease Physician
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 31296
- Practice address
- 1600 Saint Johns Blvd Ste 200
Maplewood, MN 55109-1190 - Phone
- (651) 326-4327
- Fax
- (651) 326-8171
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 31296 | MN | Primary |
Addresses
Primary practice location
1600 Saint Johns Blvd Ste 200
Maplewood, MN 55109-1190
Mailing address
1600 Saint Johns Blvd Ste 200
Maplewood, MN 55109-1190
Phone (651) 236-4327
Other practice location 1
225 Smith Ave N
Suite 500
Saint Paul, MN 55102-2534
Phone (651) 292-0616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277865300 | Medicaid | MN | |
| 31522300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Minnesota Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Saint Johns Blvd
Suite 200
Maplewood, MN 55109-1190
Phone (651) 326-2328
2651 Hillcrest Dr
Suite 302
Hudson, WI 54016-9919
Phone (612) 365-5000
606 24TH Ave S
Minneapolis, MN 55454-1455
Phone (612) 884-0649
855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3650
Hospital & facility affiliations
- M Health Fairview Woodwinds Hospital
- M Health Fairview St John'S Hospital
- M Health Fairview University of MN Medical Center
- Winona Health Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31296 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Woodwinds Hospital | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Winona Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Bethesda Hospital | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Care System | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast St. John'S Hospital | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients | |
| St. Paul Heart Clinic, P.a. | Cardiovascular Disease | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1600 Saint Johns Blvd
Ste 200
Saint Paul, MN 55109
Phone (651) 326-4327
855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290
319 S Main St
River Falls, WI 54022
Phone (715) 425-6701
1687 E Division St
River Falls, WI 54022
Phone (715) 425-6701
Interoperability endpoints
- tjohnson502916@fairview.direct-ci.com
Organizations & group practices 23
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.
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- General Acute Care Hospital
- Winona, MN
- NPI 1295789352
-
- Clinic/Center
- Hudson, WI
- NPI 1467159210
-
- Long Term Care Hospital
- Saint Paul, MN
- NPI 1194787465
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1245422021
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- General Practice Physician
- Saint Paul, MN
- NPI 1346722675
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
- General Acute Care Hospital
- Winona, MN
- NPI 1295789352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1730148560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 SAINT JOHNS BLVD STE 200",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091190",
"telephone_number": "651-236-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SAINT JOHNS BLVD STE 200",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091190",
"telephone_number": "651-326-4327",
"fax_number": "651-326-8171"
}
],
"practiceLocations": [
{
"address_1": "225 Smith Ave N",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551022534",
"country_code": "US",
"telephone_number": "651-292-0616",
"fax_number": "651-726-7256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "THOMAS",
"middle_name": "HAGGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MN",
"license": "31296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277865300",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31522300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.