Individual provider Active NPI

Steven E. Johnson, M.D.

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1801837935
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F9628 Issued in TX
Practice address
5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3559
Phone
(817) 334-1400
Fax
(817) 334-1410
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F9628 TX Primary

Addresses

Primary practice location

5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3559

Mailing address

5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3559
Phone (817) 334-1400

Other practice location 1

800 5th Ave
Suite 300
Fort Worth, TX 76104-7300
Phone (817) 334-1400

Other practice location 2

5450 Clearfork Main St Ste 410
Fort Worth, TX 76109-3559
Phone (817) 334-1400

Other identifiers 3

IdentifierTypeStateIssuer
134360011MedicaidTX
128161007MedicaidTX
128161004MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100507000191 TX Practitioner - Internal Medicine 1153413943 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9628TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Oct 1, 1981 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 1, 1981 Accepting new patients
Medical Clinic of North Texas PLLC Past Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

5450 Clearfork Main St
Ste 410
Fort Worth, TX 76109
Phone (817) 505-0233

5450 Clearfork Main St
Ste 300
Fort Worth, TX 76109
Phone (817) 334-1400

800 5th Ave
Ste 300
Ft Worth, TX 76104
Phone (817) 334-1400

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801837935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093559",
            "telephone_number": "817-334-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093559",
            "telephone_number": "817-334-1400",
            "fax_number": "817-334-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 5th Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761047300",
            "country_code": "US",
            "telephone_number": "817-334-1400",
            "fax_number": "817-334-1410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5450 Clearfork Main St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761093559",
            "country_code": "US",
            "telephone_number": "817-334-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEVEN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F9628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134360011",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128161007",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128161004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.