Active NPI
Thomas Mark Johnson, M.D.
- Cardiovascular Disease Physician
- Dubuque, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 21505
- Practice address
- 1000 Langworthy St
Dubuque, IA 52001-7313 - Phone
- (563) 584-3425
- Fax
- (563) 584-3497
- NPI assigned
- May 16, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 21505 | IA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 29644 | WI |
Addresses
Primary practice location
1000 Langworthy St
Dubuque, IA 52001-7313
Mailing address
1500 Associates Dr
Dubuque, IA 52002-2201
Phone (563) 584-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160531 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100305000461 | IA | Practitioner - Cardiovascular Disease (Cardiology) | 7214912401 | Reassigns benefits to 1 organization |
| I20101113000206 | WI | Practitioner - Cardiovascular Disease (Cardiology) | 7214912401 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Associates Clinic P C
Practice addresses (Care Compare)
1000 Langworthy St
Dubuque, IA 52001-7313
Phone (563) 584-4100
1240 Big Jack Rd
Platteville, WI 53818-8902
Phone (608) 348-6266
250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 584-8000
Hospital & facility affiliations
- Mercyone Dubuque Medical Center
- Mercyone Elkader Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21505 | IA | MD | Cardiovascular Disease Physician |
| 29644 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Medical Associates Clinic P C | Current | Accepting new patients |
Locations
1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100
1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455
200 Main St
Guttenberg, IA 52052
Phone (563) 252-1121
9177 Old Potosi Rd
Lancaster, WI 53813
Phone (608) 723-4300
1240 Big Jack Rd
Platteville, WI 53818
Phone (608) 348-2844
Interoperability endpoints
- tjohnson141994@direct.unitypoint.org
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.
-
- Durable Medical Equipment & Medical Supplies
- Dubuque, IA
- NPI 1811091143
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259107200000",
"number": "1801848486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 ASSOCIATES DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520022201",
"telephone_number": "563-584-4100",
"fax_number": "563-584-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LANGWORTHY ST",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017313",
"telephone_number": "563-584-3425",
"fax_number": "563-584-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "THOMAS",
"middle_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2009-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "21505",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "29644",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0160531",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.