Individual provider Active NPI

Richard William Johnson, MD

  • Family Medicine Physician
  • Andover, KS
National Provider Identifier
1851399489
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27062 Issued in KS
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.

Hospital & facility affiliations 6

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

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 4 clinicians

Practice addresses (Care Compare)

524 N Andover Rd
Andover, KS 67002-9712
Phone (316) 733-3014

Hospital & facility affiliations

  • Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
  • Wesley Healthcare at Home Home health agency, Salina, KS, CCN 177187
  • Kansas Medical Center LLC Hospital, Andover, KS, CCN 170197
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123
  • Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions81
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
27062KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Medical Center LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27062 KS Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.