KEVIN WAYNE JOHNSON DO
NPI 1104212562
Psychiatry & Neurology - Child & Adolescent Psychiatry in Tulsa, OK
About Kevin Wayne Johnson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN WAYNE JOHNSON DO (NPI 1104212562) is an individual child & adolescent psychiatry provider in Tulsa, Oklahoma, licensed in Virginia (0102206028) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2015).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin Wayne Johnson Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
TULSA, OK 74135
TULSA, OK 74135
TULSA, OK 74135
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Johnson's NPI number?
The NPI number for Kevin Johnson is 1104212562. It was assigned to this individual provider in the NPPES registry on April 13, 2015.
Where is Kevin Johnson located?
Kevin Johnson practices at 4502 E 41st St, Tulsa, OK 74135. The listed phone number is (918) 619-4400.
What is Kevin Johnson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Kevin Johnson enrolled in Medicare?
Yes. Kevin Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kevin Johnson was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kevin Wayne Johnson, DO · NPI 1104212562
Child & Adolescent Psychiatry physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since April 13, 2015.
## Identity
- **NPI:** 1104212562 (Entity type: Individual)
- **Enumerated:** April 13, 2015
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 0102206028 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4502 E 41ST ST, Tulsa, OK 74135-2536
- **Phone:** (918) 619-4400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 2015
## Record status
- **NPPES last updated:** June 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104212562) · Data from the CMS NPPES public registry.