Active NPI
Andrea Johnson, DO
- Family Medicine Physician
- New Hartford, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 249644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Acacia Certified Home Care Co
- Hospice and Palliative Care Inc New Hartford
- Wynn Hospital
- Little Falls Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 249644 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Medical Physician Associates PC | Hospitalist | Current | Accepting new patients |
| MVHS Inc | Family Medicine | Current | Accepting new patients |
| New York Medical Physician Associates PC | Hospitalist | Current | Accepting new patients |
| MVHS Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Utica, NY
- NPI 1770690737
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
-
- Community/Retail Pharmacy
- Utica, NY
- NPI 1306573753
-
- Hospitalist Physician
- Margaretville, NY
- NPI 1528869203
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Utica, NY
- NPI 1558327833
-
- Community Based Hospice Care Agency
- New Hartford, NY
- NPI 1063430577
-
- Critical Access Hospital
- Little Falls, NY
- NPI 1558321919
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
-
- Home Health Agency
- Utica, NY
- NPI 1134104573
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.