Active NPI
William Kent Johnson, M.D.
- Surgery Physician
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- H6320
- Practice address
- 511 Oakwood Blvd Ste 150
Round Rock, TX 78681-4068 - Phone
- (248) 629-2176
- Fax
- (248) 856-4704
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | H6320 | TX | Primary |
| Diagnostic Radiology Physician | 2085R0202X | H6320 | TX |
Addresses
Primary practice location
511 Oakwood Blvd Ste 150
Round Rock, TX 78681-4068
Mailing address
7125 Orchard Lake Rd Ste 210
West Bloomfield, MI 48322-3618
Phone (248) 629-2176
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096817404 | Medicaid | TX | |
| P000662G2 | Medicaid | TX | |
| 096817403 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080317000390 | TX | Practitioner - General Surgery | 9638175946 |
Reassigns benefits to 2 organizations Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Group PLLCSrinivas Rao MD PA
Practice addresses (Care Compare)
16840 Buccaneer LN
Suite 120
Houston, TX 77058-2563
Phone (866) 607-2308
5585 Weslayan St
Houston, TX 77005-1941
Phone (800) 991-6117
635 Medical Pkwy
Brenham, TX 77833-5412
Phone (800) 991-6117
9303 Pinecroft Dr
Suite 350
The Woodlands, TX 77380-3183
Phone (800) 991-6117
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 442 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6320 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Srinivas Rao MD PA | Surgery | Current | Accepting new patients |
| Alanna L. Craig, M.D.P.a. | Past | Accepting new patients | |
| MVC Az | Surgery | Past | Accepting new patients |
Locations
3820 Northdale Blvd
Ste 201
Tampa, FL 33624
635 Medical Pkwy
Brenham, TX 77833
Phone (979) 830-1444
11221 Katy Fwy
Ste 115
Houston, TX 77079
Phone (281) 888-1464
5585 Weslayan St
Houston, TX 77005
Phone (713) 240-4913
3333 Bayshore Blvd
Ste 310
Pasadena, TX 77504
Phone (281) 481-5444
3333 Bayshore Blvd
Ste 260
Pasadena, TX 77504
1920 Country Place Pkwy
Ste 110
Pearland, TX 77584
Phone (281) 991-8346
9303 Pinecroft Dr
Ste 350
The Woodlands, TX 77380
Phone (281) 292-0121
Interoperability endpoints
- william.johnson@uvvc.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Tomball, TX
- NPI 1104871805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1891798682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 ORCHARD LAKE RD STE 210",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223618",
"telephone_number": "248-629-2176",
"fax_number": "248-856-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 OAKWOOD BLVD STE 150",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814068",
"telephone_number": "248-629-2176",
"fax_number": "248-856-4704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WILLIAM",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "H6320",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "H6320",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096817404",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000662G2",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096817403",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.