Individual provider Active NPI

Julia C Johnson, MD

  • Obstetrics & Gynecology Physician
  • Lees Summit, MO
National Provider Identifier
1912393109
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2019015690 Issued in MO
Practice address
20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086
Phone
(816) 282-7809
Fax
(816) 282-7870
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 04-42096 KS
Obstetrics & Gynecology Physician 207V00000X 2019015690 MO Primary

Addresses

Primary practice location

20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086

Mailing address

20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001
Phone (816) 282-7809

Other practice location 1

5701 W 119th St Ste 225
Overland Park, KS 66209-3721
Phone (913) 601-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190725001530 MO Practitioner - Obstetrics/Gynecology 0749516920 Reassigns benefits to 2 organizations
I20190807002914 KS Practitioner - Obstetrics/Gynecology 0749516920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Group LLCGroup PAC ID 8123503901, 20 clinicians
Rockhill Women'S Care IncGroup PAC ID 4082628219, 11 clinicians

Practice addresses (Care Compare)

20 NE Saint Lukes Blvd
310 Rockhill Women'S Care
Lees Summit, MO 64086-6001
Phone (816) 282-7809

5701 W 119TH St
225 Menorah
Overland Park, KS 66209-3721
Phone (913) 601-4020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-42096KSMDObstetrics & Gynecology Physician
2019015690MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockhill Women'S Care, Inc CurrentSince Sep 1, 2019 Accepting new patients

Locations

5701 W 119th St
Ste 225
Overland Park, KS 66209
Phone (913) 469-0550

20 NE Saint Lukes Blvd
Ste 310
Lees Summit, MO 64086
Phone (816) 282-7809

Organizations & group practices 2

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1912393109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD STE 310",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-282-7809",
            "fax_number": "816-282-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD STE 310",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64086",
            "telephone_number": "816-282-7809",
            "fax_number": "816-282-7870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 W 119th St Ste 225",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093721",
            "country_code": "US",
            "telephone_number": "913-601-4020",
            "fax_number": "913-601-4022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2021-09-01",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-42096",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2019015690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.