Active NPI
Richard William Johnson, MD
- Family Medicine Physician
- Andover, KS
National Provider Identifier
1851399489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27062
- Practice address
- 524 N Andover Rd
Andover, KS 67002-9712 - Phone
- (316) 733-4500
- Fax
- (316) 733-1240
- NPI assigned
- Jul 8, 2005
- Reactivated
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Wichita, KS
- NPI 1467409185
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salina, KS
- NPI 1568764520
-
- Home Health Agency
- Wichita, KS
- NPI 1013979905
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Physicians of Kansas LLC
Practice addresses (Care Compare)
524 N Andover Rd
Andover, KS 67002-9712
Phone (316) 733-3014
Hospital & facility affiliations
- Phoenix Home Care
- Wesley Healthcare at Home
- Kansas Medical Center LLC
- Wesley Medical Center
- Susan B Allen Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 81 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040506001586 | KS | Practitioner - Family Practice | 6507855400 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27062 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Medical Center LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27062 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
524 N Andover Rd
Andover, KS 67002-9712
Mailing address
524 N Andover Rd
Andover, KS 67002-9712
Phone (316) 733-3014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2022.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1851399489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 N ANDOVER RD",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670029712",
"telephone_number": "316-733-3014",
"fax_number": "316-733-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 N ANDOVER RD",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670029712",
"telephone_number": "316-733-4500",
"fax_number": "316-733-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RICHARD",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "27062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.