DR. ADAM LEE JOHNSON MD
NPI 1104314228
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 24, 2018PECOS Enrolled
55 FRUIT ST # 7-748, BOSTON, MA 02114(617) 643-0596 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Adam Lee Johnson Md NPPES

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

DR. ADAM LEE JOHNSON MD (NPI 1104314228) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104314228
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ADAM LEE JOHNSONCredential: MD
Location Address55 FRUIT ST # 7-748Boston, MA 02114-2696
Mailing Address125 Nashua St Ste 260Boston, MA 02114-1109 · (617) 724-4133 · Fax (617) 724-3947
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 24, 2018
NPI 1104314228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 FRUIT ST # 7-748, Boston, MA 02114

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Adam Lee Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032461868
PECOS Enrollment IDI20251020002146
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

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 Adam Johnson's NPI number?

The NPI number for Adam Johnson is 1104314228. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Adam Johnson located?

Adam Johnson practices at 55 Fruit St # 7-748, Boston, MA 02114. The listed phone number is (617) 643-0596.

What is Adam Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adam Johnson enrolled in Medicare?

Yes. Adam Johnson is registered in the Medicare PECOS enrollment system.

Is Adam Johnson affiliated with any hospitals?

According to CMS data, Adam Johnson is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Adam Johnson was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.