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DEBRA DEANOVIC JOHNSON MD
NPI 1124093265
Pediatrics in Minneapolis, MN

Active since February 22, 2006PECOS Enrolled
2220 RIVERSIDE AVE, MAIL STOP 31700A, MINNEAPOLIS, MN 55454(612) 371-1600(612) 371-1732 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra Deanovic Johnson Md NPPES

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

DEBRA DEANOVIC JOHNSON MD (NPI 1124093265) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (26260) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124093265
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDEBRA DEANOVIC JOHNSONCredential: MD
Location Address2220 RIVERSIDE AVE, MAIL STOP 31700AMinneapolis, MN 55454-1321
Mailing Address8170 33rd Ave SBloomington, MN 55425-4516 · (952) 967-7676 · Fax (612) 341-1432
Phone(612) 371-1600
Fax(612) 371-1732
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateFebruary 28, 2020
✔ NPI 1124093265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 26260
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2220 RIVERSIDE AVE, Minneapolis, MN 55454
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Other Identifiers 1

Medicaid310382000MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debra Deanovic Johnson Md 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 55454 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

NGHIA H LA M.D
Family Medicine
2220 RIVERSIDE AVE, HEALTHPARTNERS RIVERSIDE URGENT CARE CLINIC
MINNEAPOLIS, MN 55454
Hennepin County (952) 853-8800
JOWITA KINNEY PTA
Physical Therapy Assistant
2220 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 341-5191
CATHERINE A DEMOSS D.O., MPH
General Practice
2220 RIVERSIDE AVE, HEALTHPARTNERS RIVERSIDE URGENT CARE CLINIC
MINNEAPOLIS, MN 55454
Hennepin County (952) 853-8800
MICHELLE TRACY KOENIG DNP
Nurse Practitioner (Pediatrics)
2220 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 341-5100
JOHN W HERING MD
Obstetrics & Gynecology
2220 RIVERSIDE AVE, MAIL STOP 31700A
MINNEAPOLIS, MN 55454
Hennepin County (612) 371-1600
RAYMOND CHARLES SODERLUND PA
Physician Assistant (Surgical)
2220 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 371-1600
GREGG THOMAS ASPNES MD
Pediatrics
2220 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 339-3663
DR. SONAL M KORATKAR DDS
Dentist (General Practice)
2220 RIVERSIDE AVE, HEALTHPARTNERS RIVERSIDE DENTAL CLINIC
MINNEAPOLIS, MN 55454
Hennepin County (218) 263-8381

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 Debra Johnson's NPI number?

The NPI number for Debra Johnson is 1124093265. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Debra Johnson located?

Debra Johnson practices at 2220 Riverside Ave Mail Stop 31700A, Minneapolis, MN 55454. The listed phone number is (612) 371-1600.

What is Debra Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Debra Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Debra Johnson was last updated on February 28, 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.