NPIMap

Individual provider Active NPI

Charles Robert Johnson, D.O.

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1992999122
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS0004672 Issued in FL
Practice address
1601 Clint Moore Rd
155
Boca Raton, FL 33487-2768
Phone
(561) 338-0700
Fax
(561) 362-9960
NPI assigned
Aug 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS0004672 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd
155
Boca Raton, FL 33487-2768

Mailing address

1601 Clint Moore Rd
Suite Number 155
Boca Raton, FL 33487-2768
Phone (561) 338-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000162 FL Practitioner - Internal Medicine 4284728882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johnson Internal Medicine IncGroup PAC ID 8921194820, 3 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Boca Raton, FL 33487-5715
Phone (561) 338-0700

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-4200

Hospital & facility affiliations

  • Real Solutions Home Health Care Inc Home health agency, Delray Beach, FL, CCN 103125
  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Complete Home Care of the Palm Beaches LLC Home health agency, Greenacres, FL, CCN 109697
  • All County Health Care, Inc Home health agency, Lauderdale Lakes, FL, CCN 109250
  • Enhabit Home Health of Bethesda Home health agency, Boynton Beach, FL, CCN 107214
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Harbours Edge Nursing home, Delray Beach, FL, CCN 105598

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0004672FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Internal Medicine Inc Internal Medicine CurrentSince Jul 2, 2007 Accepting new patients
Andrew H Zwick MD LLC Past Accepting new patients
Gastrocare LLP PastSince Nov 8, 2009 Accepting new patients
Realtime Medical Imaging Inc Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 155
Boca Raton, FL 33487
Phone (561) 338-0700

Interoperability endpoints

  • Direct secure messaging: charles.johnson@jimi.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHGACD

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 9

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1992999122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE NUMBER 155",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-338-0700",
            "fax_number": "561-362-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "155",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-338-0700",
            "fax_number": "561-362-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS0004672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.