Keith Angelo Johnstone, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

4301048096 Issued in MI

Practice address

26206 W 12 Mile Rd
Suite 201
Southfield, MI 48034-1754

Phone

(248) 355-4545

Fax

(248) 355-3855

NPI assigned

Dec 1, 2005

Last updated

Apr 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, CA2 enrollments

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 2

Specialty

Internal MedicineAlso: Cardiovascular Disease (Cardiology)

Education

University of Michigan Medical School, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaiser Foundation Hospital - Fresno Hospital, Fresno, CA, CCN 050710

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keithjohnstone@kajmd.allscriptsdirect.net
• Direct secure messaging: kjohnsto@direct.dmc.org
• Direct secure messaging: kjohnstone1133614@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keith a. Johnstone M.D., P.C.

  • Interventional Cardiology Physician
  • Southfield, MI
  • NPI 1497866073
  Medicare reassignment NPD Authorized official
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group NPD
• Halo Medical Group PLLC

  • Cardiovascular Disease Physician
  • Detroit, MI
  • NPI 1811214489
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Harper Hutzel Hospital

  • Clinic/Center
  • Detroit, MI
  • NPI 1417150327
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Fresno

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1083784672
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1760466049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD",
            "address_2": "SUITE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341754",
            "telephone_number": "248-355-4545",
            "fax_number": "248-355-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD",
            "address_2": "SUITE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341754",
            "telephone_number": "248-355-4545",
            "fax_number": "248-355-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTONE",
        "first_name": "KEITH",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301048096",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301048096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3500119",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley Johnson
• Claire A Johnston
• Emily Johnston, LMSW
• Quentin Johnston
• Robin Johnston
• Joint and Spine Specialist, PLLC
• Joint Care
• Jolof N.E.M.T LLC
• Jonathan Miodownik DMD PLLC (Jonathan Miodownik DMD)
• Jonee's Placement and Resource Services

• Interventional Cardiology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Interventional Cardiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.

Verify at the official NPI Registry.