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JUSTIN JOHNSON
NPI 1215727995
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since May 07, 2025PECOS Enrolled
5801 SMITH AVE, BALTIMORE, MD 21209(410) 735-7000 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, May 7, 2025 (2 updates tracked since 2025).

About Justin Johnson NPPES

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

JUSTIN JOHNSON (NPI 1215727995) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1215727995
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN JOHNSON
Location Address5801 SMITH AVEBaltimore, MD 21209-3652
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704 · Fax (410) 500-4266
Phone(410) 735-7000
Sole ProprietorNo
Enumeration DateMay 7, 2025
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1215727995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
5801 SMITH AVE, Baltimore, MD 21209
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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037 · Fax (410) 955-0737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Johnson 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIEMANH PHAM M.D.
Emergency Medicine
5801 SMITH AVE, SUITE 3220
BALTIMORE, MD 21209
Baltimore County (410) 735-6403
DR. ANDREA DUGAS M.D.
Emergency Medicine
5801 SMITH AVE
BALTIMORE, MD 21209
Baltimore County (410) 735-6400
JULIUS PHAM MD
Emergency Medicine
5801 SMITH AVE, DAVIS BUILDING, SUITE 3220
BALTIMORE, MD 21209
Baltimore County (410) 735-6419
GEORGE H. SACK, JR LLC
Medical Genetics, Ph.D. Medical Genetics
5801 SMITH AVE, SUITE 305
BALTIMORE, MD 21209
Baltimore County (410) 735-6605
DANIEL HAIK MD
Psychiatry & Neurology (Psychiatry)
5801 SMITH AVE
BALTIMORE, MD 21209
Baltimore County (410) 735-6400

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 Justin Johnson's NPI number?

The NPI number for Justin Johnson is 1215727995. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Justin Johnson located?

Justin Johnson practices at 5801 Smith Ave, Baltimore, MD 21209. The listed phone number is (410) 735-7000.

What is Justin 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 Justin Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Justin Johnson was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.