Individual provider Active NPI

Andre H Johnson, MD

  • Orthopaedic Surgery Physician
  • Glens Falls, NY
National Provider Identifier
1861616922
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
243460 Issued in NY
Practice address
14 Hudson Ave
Glens Falls, NY 12801-4448
Phone
(518) 926-5600
Fax
(518) 926-5605
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 243460 NY Primary

Addresses

Primary practice location

14 Hudson Ave
Glens Falls, NY 12801-4448

Mailing address

121 Everett Rd
Albany, NY 12205-1474
Phone (518) 489-2663

Other identifiers 1

IdentifierTypeStateIssuer
02898593MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andre.johnson2@cdirectglensfallshosp.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070829000625 NY Practitioner - Orthopedic Surgery 4880787316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albany Medical College of Union University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedicsny, LLPGroup PAC ID 6901898170, 115 clinicians

Practice addresses (Care Compare)

5 Care LN
Saratoga Springs, NY 12866-8623
Phone (518) 489-2663

Hospital & facility affiliations

  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Promoting interoperability
75
Improvement activities
40
Cost
88.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement23
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243460NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc CurrentSince Mar 1, 2019 Accepting new patients
Glens Falls Hospital Inc. CurrentSince Mar 1, 2019 Accepting new patients
Orthopedicsny, LLP Orthopaedic Surgery CurrentSince Apr 1, 2023 Accepting new patients
Orthopedicsny, LLP CurrentSince Apr 1, 2023 Accepting new patients
FLH Medical, PC Past Accepting new patients
Baywood Surgical Associates, PC Orthopaedic Surgery Past Accepting new patients
Wayne Regional Orthopaedics PLLC Past Accepting new patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients
FLH Medical, PC Past Accepting new patients

Locations

16 Maxwell Dr
Clifton Park, NY 12065
Phone (518) 557-1800

121 Everett Rd
Colonie, NY 12205

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

1134 State Route 29
#M
Greenwich, NY 12834
Phone (518) 745-5525

25 Willowbrook Rd
Ste 2
Queensbury, NY 12804
Phone (518) 793-9156

5 Care Ln
Saratoga Springs, NY 12866
Phone (518) 587-0845

5 Care Ln
Ste 101
Saratoga Springs, NY 12866

Interoperability endpoints

  • Direct secure messaging: ajohnson102962@albanymed.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 9

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 1

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1861616922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051474",
            "telephone_number": "518-489-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HUDSON AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014448",
            "telephone_number": "518-926-5600",
            "fax_number": "518-926-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDRE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "243460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02898593",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andre.johnson2@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "14 Hudson Ave",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128014448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.