ULYSSES JOHNSON III
NPI 1285261057
Nurse Anesthetist, Certified Registered in New York, NY
About Ulysses Johnson Iii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ULYSSES JOHNSON III (NPI 1285261057) is an individual nurse anesthetist, certified registered in New York, New York, licensed in Pennsylvania (131243) and active in the NPI registry since March 2020. He is affiliated with Mount Sinai St Luke's Roosevelt Hospital and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ulysses Johnson Iii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Ulysses Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 1,067 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
Orchard Park, NY 14127
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1063419513 (New York)
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Sinai St Luke's Roosevelt Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10019
NEW YORK, NY 10019
NEW YORK, NY 10019
NEW YORK, NY 10019
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 Ulysses Johnson's NPI number?
The NPI number for Ulysses Johnson is 1285261057. It was assigned to this individual provider in the NPPES registry on March 23, 2020.
Where is Ulysses Johnson located?
Ulysses Johnson practices at 1000 10th Ave, New York, NY 10019. The listed phone number is (212) 523-6121.
What is Ulysses Johnson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ulysses Johnson enrolled in Medicare?
Yes. Ulysses Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ulysses Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ulysses Johnson reassigns Medicare benefits to 3 organizations: Fpa Hospital Based (New York, NY), Trustees Of Columbia University In The City Of New York (New York, NY) and Endoscopy Center Of Western New York LLC (Orchard Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ulysses Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ulysses Johnson affiliated with any hospitals?
According to CMS data, Ulysses Johnson is affiliated with Mount Sinai St Luke's Roosevelt Hospital.
When was this NPI record last updated?
The NPPES record for Ulysses Johnson was last updated on September 15, 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.
# Ulysses Johnson III · NPI 1285261057
Nurse Anesthetist, Certified Registered physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1285261057 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 131243 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 10TH AVE, New York, NY 10019-1147
- **Phone:** (212) 523-6121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fpa Hospital Based (NPI 1487995700, New York, NY); Trustees Of Columbia University In The City Of New York (NPI 1477068971, New York, NY); Endoscopy Center Of Western New York LLC (NPI 1841186616, Orchard Park, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285261057) · Data from the CMS NPPES public registry.