KEVIN WAYNE JOHNSON DO
NPI 1104212562
Psychiatry & Neurology - Child & Adolescent Psychiatry in Tulsa, OK

NPI Status: Active since April 13, 2015

Contact Information

4502 E 41ST ST
TULSA, OK
ZIP 74135
Phone: (918) 619-4400

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  • Individual
  • Male
  • Years of Experience 12
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KEVIN JOHNSON

This page provides the complete NPI Profile along with additional information for Kevin Johnson, a provider established in Tulsa, Oklahoma with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 12 years of experience. He graduated from Oklahoma State University College Of Osteopathic Medicine in 2015. The healthcare provider is registered in the NPI registry with number 1104212562 assigned on April 2015. The practitioner's primary taxonomy code is 2084P0804X with license number 0102206028 (VA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1104212562
Provider Name
KEVIN WAYNE JOHNSON DO
Gender
Male
Entity Type
Individual
Location Address
4502 E 41ST ST TULSA, OK 74135
Location Phone
(918) 619-4400
Mailing Address
4502 E 41ST ST TULSA, OK 74135
Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
04-13-2015
Last Update Date
06-12-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
0102206028
License State
VA
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

0102206028 (VA)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Kevin Johnson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kevin Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7719256601

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200625002722

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104212562, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 4 + 1 + 4 + 5 + 1 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104212562.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist (Psychiatric)
4502 E 41ST ST
TULSA, OK 74135
Physician Assistant
4502 E 41ST ST, STE 2G12
TULSA, OK 74135
Pharmacist (Pharmacotherapy)
4502 E 41ST ST
TULSA, OK 74135
Emergency Medicine
4502 E 41ST ST
TULSA, OK 74135
Nurse Practitioner (Family)
4502 E 41ST ST
TULSA, OK 74135
Speech-Language Pathologist
4502 E 41ST ST, OFFICE 2J18
TULSA, OK 74135
Counselor (Professional)
4502 E 41ST ST, STE 1C18
TULSA, OK 74135
Pharmacist (Pharmacotherapy)
4502 E 41ST ST, SUITE 2H38
TULSA, OK 74135
Pharmacist
4502 E 41ST ST
TULSA, OK 74135
Pharmacist (Pharmacotherapy)
4502 E 41ST ST, 1H17
TULSA, OK 74135
Pharmacist (Pharmacotherapy)
4502 E 41ST ST, SUITE 2H34
TULSA, OK 74135
Psychiatry & Neurology (Geriatric Psychiatry)
4502 E 41ST ST, DEPT OF PSYCHIATRY
TULSA, OK 74135
Pharmacist
4502 E 41ST ST
TULSA, OK 74135
Pediatrics
4502 E 41ST ST
TULSA, OK 74135
Internal Medicine
4502 E 41ST ST
TULSA, OK 74135
Pharmacist (Pharmacotherapy)
4502 E 41ST ST, SUITE 2H31
TULSA, OK 74135
Pharmacist (Pharmacotherapy)
4502 E 41ST ST, SUITE 2H23
TULSA, OK 74135
Pharmacist (Pharmacotherapy)
4502 E 41ST ST, SUITE 2H29
TULSA, OK 74135
Pharmacist
4502 E 41ST ST
TULSA, OK 74135
Internal Medicine
4502 E 41ST ST
TULSA, OK 74135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104212562, enumerated as an "individual" on April 13, 2015.

The provider is located at 4502 E 41ST ST TULSA, OK 74135 and the phone number is (918) 619-4400.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.