Active NPI
Philip Johnson, MD
- Anesthesiology Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G5939
- Practice address
- 455 Sherman St
Ste 510
Denver, CO 80203-4400 - Phone
- (303) 377-6825
- Fax
- (303) 780-0787
- NPI assigned
- Feb 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 39926 | CO | |
| Anesthesiology Physician | 207L00000X | G5939 | TX | Primary |
Addresses
Primary practice location
455 Sherman St
Ste 510
Denver, CO 80203-4400
Mailing address
455 Sherman St
Ste 510
Denver, CO 80203-4400
Phone (303) 377-6825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50932535 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | philip.johnson@direct.myteamcare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Anesthesiology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3601 4TH St
1B350K
Lubbock, TX 79430-8182
Phone (806) 743-2981
Hospital & facility affiliations
- University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39926 | CO | MD | Anesthesiology Physician |
| G5939 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Anesthesiology | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Beaumont Hospital Holdings Inc | Past | Accepting new patients | |
| Metro Denver Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
3601 4th St
#1B350K
Lubbock, TX 79430
Phone (806) 743-2981
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
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.
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
-
- Anesthesiology Physician
- Denver, CO
- NPI 1992778724
-
- Specialist
- Port Arthur, TX
- NPI 1790701753
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1790750339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SHERMAN ST",
"address_2": "STE 510",
"city": "DENVER",
"state": "CO",
"postal_code": "802034400",
"telephone_number": "303-377-6825",
"fax_number": "303-780-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SHERMAN ST",
"address_2": "STE 510",
"city": "DENVER",
"state": "CO",
"postal_code": "802034400",
"telephone_number": "303-377-6825",
"fax_number": "303-780-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "PHILIP",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "39926",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G5939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50932535",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "philip.johnson@direct.myteamcare.com",
"affiliation": "N",
"address_1": "3601 4th St",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794300002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.