ROBERT DAVID JOHNSON M.D.
NPI 1154617371
Pediatrics - Pediatric Emergency Medicine in San Antonio, TX

Q: What is Robert Johnson's NPI number?

The NPI number for Robert Johnson is 1154617371. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Q: What is Robert Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Robert Johnson was last updated on April 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 27, 2011PECOS Enrolled

333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-4100 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2024, Oct 26, 2023, Apr 12, 2017 (3 updates tracked since 2017).

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About Robert David Johnson M.d. NPPES

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

ROBERT DAVID JOHNSON M.D. (NPI 1154617371) is an individual pediatric emergency medicine provider in San Antonio, Texas, licensed in Texas (U6874) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154617371

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameROBERT DAVID JOHNSONCredential: M.D.

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address940 Ne 13th St, 2g-2300Oklahoma City, OK 73104-5008 · (405) 271-2429 · Fax (405) 271-2421

Phone(210) 704-4100

Sole ProprietorNo

Enumeration DateJune 27, 2011

Last NPPES UpdateApril 18, 20243 updates tracked since enumeration

NPPES CertifiedApril 18, 2024

✔ NPI 1154617371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in TX · U6874

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedEmergency MedicineTaxonomy 207P00000X · License U6874 (TX)

Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 30480 (OK)

333 N SANTA ROSA, San Antonio, TX 78207

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Secondary Practice Locations 2

Location 1940 NE 13th St, 2G-2300Oklahoma City, OK 73104-5008 · Phone (405) 271-2429 · Fax (405) 271-2421

Location 26621 Fannin StHouston, TX 77030-2358 · Phone (832) 824-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.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)

Robert David Johnson M.d. 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.

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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.

LATHA PRASANNAN MD

Pediatrics (Pediatric Hematology-Oncology)