Active NPI
Steven J Johnson, M.D.
- Family Medicine Physician
- Sauk City, WI
National Provider Identifier
1932207685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24540
- Practice address
- 112 Helen St
Sauk City, WI 53583-1101 - Phone
- (608) 643-3351
- Fax
- (608) 643-3621
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24540 | WI | Primary |
Addresses
Primary practice location
112 Helen St
Sauk City, WI 53583-1101
Mailing address
112 Helen St
Sauk City, WI 53583-1101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30586800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20100107000020 | WI | Practitioner - Family Practice | 8921096710 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Helen St
Sauk City, WI 53583-1101
Phone (608) 643-3351
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-7574
Hospital & facility affiliations
- SSM Health at Home Home Health-Wisconsin
- Agrace Hospicecare
- Sauk Prairie Hospital
- SSM Health St Clare Hospital - Baraboo
- University of Wi Hospitals & Clinics Authority
- Maplewood of Sauk Prairie
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24540 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Surgical Associates | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Family Medicine | Past | Accepting new patients |
Locations
260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471
Interoperability endpoints
- steven.johnson@direct.prairieclinic.nextgenshare.com
- https://api.platform.athenahealth.com/9971/brand/1/csg/1/fhir/r4
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.
-
- Certified Registered Nurse Anesthetist
- Prairie Du Sac, WI
- NPI 1396884474
-
- Surgery Physician
- Prairie Du Sac, WI
- NPI 1972942019
-
- Family Medicine Physician
- Spring Green, WI
- NPI 1609841568
Family Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fitchburg, WI
- NPI 1861503534
Hospice
-
- Home Health Agency
- Madison, WI
- NPI 1275686404
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932207685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 HELEN ST",
"city": "SAUK CITY",
"state": "WI",
"postal_code": "535831101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HELEN ST",
"city": "SAUK CITY",
"state": "WI",
"postal_code": "535831101",
"telephone_number": "608-643-3351",
"fax_number": "608-643-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "STEVEN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "24540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30586800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sauk City, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.