Rajitha Johnson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17057 Issued in NE

Practice address

Nebraska State Penitientiary
4201 S 14TH St
Lincoln, NE 68506-1054

Phone

(402) 479-3218

NPI assigned

May 21, 2007

Reactivated

Oct 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rajitha Goli Former name

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifecare Family Medicine of Bellevue PCGroup PAC ID 5193901965, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lifecare Family Medicine of Bellevue, P.C.

  • Family Medicine Physician
  • Lavista, NE
  • NPI 1841598448

  Clinic/Center

  Medicare reassignment Care Compare group NPD
• Urgent Care of Omaha Maple LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1134327687
  NPD

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1801005525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W PROSPECTOR PL BLDG 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221970",
            "telephone_number": "402-405-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEBRASKA STATE PENITIENTIARY",
            "address_2": "4201 S 14TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061054",
            "telephone_number": "402-479-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RAJITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-12",
        "deactivation_date": "2021-02-02",
        "reactivation_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "17057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJITHA",
            "last_name": "GOLI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Joy Johnson
• Molly Johnson, RN
• Natalie Cristina Johnson, LMHP, LADC
• Nathan Johnson
• Paul Johnson, DDS
• Richard E Johnson, DDS
• Ricky Johnson
• Shannon Johnson
• Shantel Leann Johnson
• Shavon Johnson

• Internal Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.