Individual provider Active NPI

Andrea Johnson, DO

  • Family Medicine Physician
  • New Hartford, NY
National Provider Identifier
1740486455
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
249644 Issued in NY
Practice address
4401 Middle Settlement Rd
New Hartford, NY 13413-5331
Phone
(157) 331-1483
Fax
(315) 734-4988
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 249644 NY
Family Medicine Physician 207Q00000X 249644 NY Primary

Addresses

Primary practice location

4401 Middle Settlement Rd
New Hartford, NY 13413-5331

Mailing address

2215 Genesee St
Utica, NY 13501-5930
Phone (315) 801-8534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100625000561 NY Practitioner - Family Practice 0244361848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

4401 Middle Settlement Rd
New Hartford, NY 13413-5331
Phone (315) 733-1148

Hospital & facility affiliations

  • Vna Utica and Oneida Co Chha Home health agency, Utica, NY, CCN 337078
  • Acacia Certified Home Care Co Home health agency, Utica, NY, CCN 337423
  • Hospice and Palliative Care Inc New Hartford Hospice, New Hartford, NY, CCN 331510
  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Little Falls Hospital Hospital, Little Falls, NY, CCN 331311

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249644NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 17, 2024 Accepting new patients
MVHS Inc Family Medicine CurrentSince Oct 27, 2020 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 17, 2024 Accepting new patients
MVHS Inc CurrentSince Oct 27, 2020 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

4401 Middle Settlement Rd
New Hartford, NY 13413
Phone (315) 734-3471

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2215 Genesee St
Utica, NY 13501
Phone (315) 801-4238

2215 Genesee St
Rm 105
Utica, NY 13501

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Interoperability endpoints

  • Direct secure messaging: ajohnson11939@mvhealthsystem.direct-ci.com

Organizations & group practices 4

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1740486455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-8534",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135331",
            "telephone_number": "157-331-1483",
            "fax_number": "315-734-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "249644",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "249644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.