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DR. BEVERLY JOHNSON MD
NPI 1336306992
Internal Medicine - Rheumatology in Bronx, NY

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER, ROOM 3N-06, BRONX, NY 10461(718) 918-3015(718) 918-7460 Get Directions Write a Review

NPPES record last updated: November 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Beverly Johnson Md NPPES

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

DR. BEVERLY JOHNSON MD (NPI 1336306992) is an individual rheumatology provider in Bronx, New York, licensed in New York (247479) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (2006).

NPPES Registry Identity

NPI1336306992
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. BEVERLY JOHNSONCredential: MD
Location Address1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER, ROOM 3N-06Bronx, NY 10461-1197
Mailing Address1400 Pelham Pkwy S Rm 3n-21eBronx, NY 10461-1119 · (718) 918-3015 · Fax (718) 918-7460
Phone(718) 918-3015
Fax(718) 918-7460
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2006
Enumeration DateMay 21, 2008
Last NPPES UpdateNovember 19, 2023
NPPES CertifiedNovember 19, 2023
✔ NPI 1336306992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 247479
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 247479 (NY)
1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER, Bronx, NY 10461
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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

Dr. Beverly Johnson Md 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.

PECOS PAC ID5092942839
PECOS Enrollment IDI20131226000373
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Beverly Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
2.3 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
North Shore Hematology Oncology Associates PC
41 mi
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group
NPI 1396794574 (631) 751-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 14

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

JACOBI MEDICAL CENTER
Clinic/Center
1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER, 1400 PELHAM PARKWAY, ACP, 5TH FLOOR, RM A32
BRONX, NY 10461
Bronx County (718) 918-5747
RUOFAN FU
Student in an Organized Health Care Education/Training Program
1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER
BRONX, NY 10461
Bronx County (718) 916-5640
ZAINAB SABIR M.B.B.S.
Student in an Organized Health Care Education/Training Program
1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER, BUILDING 4, ROOM 6S11
BRONX, NY 10461
Bronx County (718) 918-5000
JOO HEE PARK M.D.
Student in an Organized Health Care Education/Training Program
1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER, BUILDING 4 ROOM 6S11
BRONX, NY 10461
Bronx County (718) 918-5000
HARMANJOT KAUR MBBS
Student in an Organized Health Care Education/Training Program
1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER
BRONX, NY 10461
Bronx County (718) 918-5640
VIOLA VINCENT CUTINHA M.D.
Student in an Organized Health Care Education/Training Program
1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER
BRONX, NY 10461
Bronx County (718) 918-6981
ASHWIN RAGUPATHI M.B.B.S
Student in an Organized Health Care Education/Training Program
1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER
BRONX, NY 10461
Bronx County (718) 918-5000
PRAVEEN KUMAR KOMMINNI M.B.B.S
Student in an Organized Health Care Education/Training Program
1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER, BUILDING 4-ROOM 6S11
BRONX, NY 10461
Bronx County (718) 918-5006

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 Beverly Johnson's NPI number?

The NPI number for Beverly Johnson is 1336306992. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Beverly Johnson located?

Beverly Johnson practices at 1400 Pelham Parkway South Jacobi Medical Center Room 3n-06, Bronx, NY 10461. The listed phone number is (718) 918-3015.

What is Beverly Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Beverly Johnson enrolled in Medicare?

Yes. Beverly 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 Beverly Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Johnson reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and North Shore Hematology Oncology Associates PC (Port Jefferson Station, 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 Beverly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Beverly Johnson was last updated on November 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.