NPIMap

Individual provider Active NPI

Robert R Johnson II, MD

  • Neurological Surgery Physician
  • Southfield, MI
National Provider Identifier
1861489452
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301051837 Issued in MI
Practice address
29275 Northwestern Hwy
Ste 100
Southfield, MI 48034-1044
Phone
(248) 784-3667
Fax
(248) 869-3982
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301051837 MI
Neurological Surgery Physician 207T00000X 4301051837 MI Primary

Addresses

Primary practice location

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034-1044

Mailing address

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034-1044
Phone (248) 784-3667

Other practice location 1

25500 Meadowbrook Rd Ste 250
Novi, MI 48375-1883
Phone (248) 784-3667

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.johnson.p1@direct.mhsineuro.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050919000615 MI Practitioner - Neurosurgery 9032143136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
West Virginia University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northsport Physical Therapy and Rehabilitation P CGroup PAC ID 5294902508, shared by 2 NPIs, 43 clinicians

Practice addresses (Care Compare)

1622 Dickerson Rd
Gaylord, MI 49735-9206

29275 Northwestern Hwy
Suite 100
Southfield, MI 48034-5700
Phone (248) 351-6300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion32
Laminectomy or laminotomy (partial removal of spine bones)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical Associates PC Specialist CurrentSince Jan 1, 1990 Accepting new patients
University Neurosurgical Associates, PC Neurological Surgery CurrentSince Jan 1, 1990 Accepting new patients
University Neurosurgical Associates Neurological Surgery Past Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

1030 Harrington St
Ste 205
Mount Clemens, MI 48043
Phone (586) 493-3195

46325 W Twelve Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 618-2121

25500 Meadowbrook Rd
Ste 150
Novi, MI 48375
Phone (248) 784-3667

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

Interoperability endpoints

  • Direct secure messaging: rjohnson1133567@direct.hfhs.org
  • Direct secure messaging: robert.johnson.p1@direct.mhsineuro.nextgenshare.com

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.

Hospital & facility affiliations 11

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1861489452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29275 NORTHWESTERN HWY",
            "address_2": "STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341044",
            "telephone_number": "248-784-3667",
            "fax_number": "248-784-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29275 NORTHWESTERN HWY",
            "address_2": "STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341044",
            "telephone_number": "248-784-3667",
            "fax_number": "248-869-3982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25500 Meadowbrook Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751883",
            "country_code": "US",
            "telephone_number": "248-784-3667",
            "fax_number": "248-784-3678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301051837",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301051837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.johnson.p1@direct.mhsineuro.nextgenshare.com",
            "affiliation": "N",
            "address_1": "29275 Northwestern Hwy",
            "address_2": "Ste 100",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480341044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.