Individual provider Active NPI

Timothy Sterling Johnson, M.D.

  • Orthopaedic Surgery Physician
  • Lansdowne, VA
National Provider Identifier
1801864343
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101238208 Issued in VA
Practice address
19455 Deerfield Ave
Suite 312
Lansdowne, VA 20176-8100
Phone
(703) 729-5010
Fax
(703) 729-5833
NPI assigned
Mar 10, 2006
Last updated
May 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0058682 MD
Orthopaedic Surgery Physician 207X00000X 0101238208 VA Primary

Addresses

Primary practice location

19455 Deerfield Ave
Suite 312
Lansdowne, VA 20176-8100

Mailing address

19455 Deerfield Ave
Suite 312
Lansdowne, VA 20176-8100
Phone (703) 729-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20080408000734 VA Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 1951490028 Reassigns benefits to 1 organization
I20170601001115 MD Practitioner - Orthopedic Surgery 1951490028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Hospital College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The National Sports Medicine Institute,PCGroup PAC ID 5597842096, 4 clinicians

Practice addresses (Care Compare)

1901 Lockhouse Dr
Point of Rocks, MD 21777-2104
Phone (703) 729-5010

19455 Deerfield Ave
Suite 312
Lansdowne, VA 20176-8102
Phone (703) 729-5010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0058682MDMDOrthopaedic Surgery Physician
0101238208VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The National Sports Medicine Institute,PC Orthopaedic Surgery CurrentSince Dec 1, 2007 Accepting new patients
National Sports Medicine Institute Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
The Good Samaritan Hospital of Maryland Inc Past Accepting new patients

Locations

1901 Lockhouse Dr
Point of Rocks, MD 21777
Phone (301) 874-2211

24560 Southpoint Dr
Ste 340
Aldie, VA 20105
Phone (703) 729-5010

19455 Deerfield Ave
Ste 312
Leesburg, VA 20176
Phone (703) 729-5010

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1801864343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE",
            "address_2": "SUITE 312",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768100",
            "telephone_number": "703-729-5010",
            "fax_number": "703-729-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE",
            "address_2": "SUITE 312",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768100",
            "telephone_number": "703-729-5010",
            "fax_number": "703-729-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIMOTHY",
        "middle_name": "STERLING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0058682",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101238208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

Verify at the official NPI Registry.