Individual provider Active NPI

Jonathan Ashely Collis Johnson, M.D.

  • Surgery Physician
  • Washington, DC
National Provider Identifier
1992953749
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0071192 Issued in MD
Practice address
2112 F St NW Ste 804
Washington, DC 20037-2760
Phone
(202) 861-2971
NPI assigned
Sep 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 D0071192 MD Primary

Addresses

Primary practice location

2112 F St NW Ste 804
Washington, DC 20037-2760

Mailing address

2112 F St NW
Washington, DC 20037-2715
Phone (202) 861-2971

Other practice location 1

3801 Canterbury Rd
Ste 711
Baltimore, MD 21218-2376
Phone (303) 550-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, GA, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20110916000035 MD Practitioner - General Surgery 5597936856 Reassigns benefits to 1 organization
I20120104000396 DC Practitioner - General Surgery 5597936856 Reassigns benefits to 2 organizations
I20210712002393 GA Practitioner - Geriatric MedicinePractitioner - Plastic and Reconstructive Surgery 5597936856 Reassigns benefits to 1 organization
I20230228000456 NY Practitioner - General Surgery 5597936856

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Meharry Medical College School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Wound Care Services LLCGroup PAC ID 3870897119, 2 clinicians

Practice addresses (Care Compare)

2112 F St NW
Suite 804
Washington, DC 20037-2760
Phone (202) 861-2971

Hospital & facility affiliations

  • Bridgepoint Cont Care Hospital - Nat Harborside Long-term care hospital, Washington, DC, CCN 092003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue576

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Services Corporation Current Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12516/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jonathan.johnson.2@24172.direct.athenahealth.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.

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": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992953749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 F ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372715",
            "telephone_number": "202-861-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 804",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372760",
            "telephone_number": "202-861-2971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Canterbury Rd",
            "address_2": "Ste 711",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212182376",
            "country_code": "US",
            "telephone_number": "303-550-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JONATHAN",
        "middle_name": "ASHELY COLLIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0071192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.