Individual provider Active NPI

William Kent Johnson, M.D.

  • Surgery Physician
  • Round Rock, TX
National Provider Identifier
1891798682
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H6320 Issued in TX
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

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
096817404MedicaidTX
P000662G2MedicaidTX
096817403MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLC 13 clinicians
Srinivas Rao MD PA 17 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6320TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Srinivas Rao MD PA Surgery CurrentSince Jul 13, 2020 Accepting new patients
Alanna L. Craig, M.D.P.a. Past Accepting new patients
MVC Az Surgery PastSince Sep 21, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.