Shawn Mark Johnson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01061755A Issued in IN

Practice address

5001 US Highway 30 W Ste D
Fort Wayne, IN 46818-9701

Phone

(260) 432-1568

Fax

(260) 432-4969

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN, OH2 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

Specialty

Diagnostic Radiology

Education

Indiana University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Wayne Radiology Associates LLCGroup PAC ID 5294624060, 35 clinicians

Breast Diagnostic Center LLCGroup PAC ID 9335189513, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
• Parkview Wabash Hospital, Inc Hospital, Wabash, IN, CCN 151310
• Parkview Whitley Hospital Hospital, Columbia City, IN, CCN 150101
• Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
• Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091

Merit-based Incentive Payment System (MIPS)

Final score

80.28 of 100Reported as group

Quality

77.29

Improvement activities

40

Cost

73.88

Merit-based Incentive Payment System (MIPS)

Final score

85.81 of 100Reported as group

Quality

80.59

Promoting interoperability

100

Improvement activities

40

Cost

72.11

Merit-based Incentive Payment System (MIPS)

Final score

50 of 100Reported as individual

Quality

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjohnson5301@direct.parkviewexchange.com

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.

• Breast Diagnostic Center, LLC

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1790748499
  Medicare reassignment Care Compare group NPD
• Fort Wayne Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1063475861

  OH

  Medicare reassignment Care Compare group NPD
• P.E.T. Imaging Services, LLC

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1992768691
  Medicare reassignment NPD
• Community Hospitals and Wellness Centers

  • General Practice Physician
  • Bryan, OH
  • NPI 1225167893
  NPD
• Community Hospitals and Wellness Centers

  • Medicare Defined Swing Bed Hospital Unit
  • Montpelier, OH
  • NPI 1386687218
  NPD
• Imaging Diagnostic Center Limited

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1871564336
  NPD (past)
• Dwight James Lin MD Inc

  • Specialist
  • Honolulu, HI
  • NPI 1992914642
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of Noble County, Inc.

  • General Acute Care Hospital
  • Kendallville, IN
  • NPI 1457366189
  Care Compare affiliation
• Huntington Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Huntington, IN
  • NPI 1003821729
  Care Compare affiliation
• Parkview Hospital, Inc.

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1366407603
  Care Compare affiliation
• Parkview Wabash Hospital, Inc.

  • Critical Access Hospital
  • Wabash, IN
  • NPI 1245259878
  Care Compare affiliation
• Whitley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Columbia City, IN
  • NPI 1205844495
  Care Compare affiliation
• Whitley Memorial Hospital, Inc.

  • Land Ambulance
  • Columbia City, IN
  • NPI 1497764450

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1811908445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80070",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468980070",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 US HIGHWAY 30 W STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468189701",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAWN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01061755A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200812580",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811908445",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2658520",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael L Johnson, NP
• Renu Johnson
• Rochelle Loraine Johnson, N.P.
• Sara B Johnson, SLP
• Sarah Johnson
• Shira Kahliah Johnson
• Stacy L Johnson, NP
• Stephanie Johnson, LPN
• Tori Johnson
• Tracy Lynn Johnson, NP

• Diagnostic Radiology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.