NPIMap

Individual provider Active NPI

Benjamin William Johnson, MD

  • Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1891248134
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301119219 Issued in MI
Practice address
75 Barclay Cir Ste 200
Rochester Hills, MI 48307-5821
Phone
(248) 853-9177
Fax
(248) 853-7258
NPI assigned
Aug 3, 2016
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301119219 MI Primary

Addresses

Primary practice location

75 Barclay Cir Ste 200
Rochester Hills, MI 48307-5821

Mailing address

75 Barclay Cir Ste 200
Rochester Hills, MI 48307-5821
Phone (248) 853-9177

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BenjaminJohnson@RGSPLC.directglo.com Direct

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
I20210608001457 MI Practitioner - General Surgery 1658771944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General Surgery PLCGroup PAC ID 8729114459, 7 clinicians

Practice addresses (Care Compare)

75 Barclay Cir
Suite 200
Rochester Hills, MI 48307-5821
Phone (248) 853-9177

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue128
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301119219MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 12, 2022 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Rochester General Surgery PLC Surgery CurrentSince Aug 1, 2021 Accepting new patients
Henry Ford Macomb Hospital Corporation Surgery CurrentSince Jan 12, 2022 Accepting new patients
Grmep Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
Grand Rapids Medical Education Partners Past Accepting new patients

Locations

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

15959 Hall Rd
Ste 206
Macomb, MI 48044
Phone (586) 566-4400

75 Barclay Cir
Ste 200
Rochester Hills, MI 48307
Phone (248) 852-2040

Interoperability endpoints

  • Direct secure messaging: benjaminjohnson@rgsplc.directglo.com
  • Direct secure messaging: bjohnson364481@direct.hfhs.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1891248134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075821",
            "telephone_number": "248-853-9177",
            "fax_number": "248-853-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075821",
            "telephone_number": "248-853-9177",
            "fax_number": "248-853-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BENJAMIN",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301119219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BenjaminJohnson@RGSPLC.directglo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 Barclay Cir Ste 200",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483075821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.