GREG R JOHNSON DO
NPI 1013960269
Internal Medicine - Nephrology in Fort Wayne, IN

Q: What is Greg Johnson's NPI number?

The NPI number for Greg Johnson is 1013960269. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Greg Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Greg Johnson was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2006PECOS Enrolled

3909 NEW VISION DR, FORT WAYNE, IN 46845(260) 469-6602(260) 969-3065 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Greg R Johnson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREG R JOHNSON DO (NPI 1013960269) is an individual nephrology provider in Fort Wayne, Indiana, licensed in Indiana (02001531A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013960269

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameGREG R JOHNSONCredential: DO

Location Address3909 NEW VISION DRFort Wayne, IN 46845-1725

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(260) 469-6602

Fax(260) 969-3065

Sole ProprietorNo

Enumeration DateMay 18, 2006

Last NPPES UpdateDecember 21, 2022

NPPES CertifiedDecember 21, 2022

✔ NPI 1013960269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in IN · 02001531A

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3909 NEW VISION DR, Fort Wayne, IN 46845

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Other Identifiers 3

Other000000675115IN · Anthem

Medicaid200015220IN

OtherP00895098IN · R.r. Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greg R Johnson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCKENNA A GOTTFRIED

Nurse Practitioner