ISAAC JOHNSON DO
NPI 1255225793
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Q: What is Isaac Johnson's NPI number?

The NPI number for Isaac Johnson is 1255225793. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Q: What is Isaac Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Isaac Johnson was last updated on June 27, 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.

Active since June 09, 2025PECOS Enrolled

1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-4600 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Jun 9, 2025 (2 updates tracked since 2025).

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About Isaac Johnson Do NPPES

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

ISAAC JOHNSON DO (NPI 1255225793) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (5151017180) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255225793

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameISAAC JOHNSONCredential: DO

Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282

Mailing Address1109 N Genesee Woods DrOconomowoc, WI 53066-9463 · (612) 554-5168

Phone(269) 337-4600

Sole ProprietorYes

Enumeration DateJune 9, 2025

Last NPPES UpdateJune 27, 20252 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1255225793 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

License✔ Licensed in MI · 5151017180

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.

1000 OAKLAND DR, Kalamazoo, MI 49008

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isaac Johnson Do 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 20

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

ANDREW MATTINGLY MD

Student in an Organized Health Care Education/Training Program