MARQUES AMIR JOHNSON MD
NPI 1386339265
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since April 07, 2023PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2026, Apr 7, 2023 (2 updates tracked since 2023).

About Marques Amir Johnson Md NPPES

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

MARQUES AMIR JOHNSON MD (NPI 1386339265) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Southington, and is a graduate of University Of Connecticut School Of Medicine (2023).

NPPES Registry Identity

NPI1386339265
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARQUES AMIR JOHNSONCredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address263 Farmington AveFarmington, CT 06030-8082 · (860) 276-6090 · Fax (860) 276-6062
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2023
Enumeration DateApril 7, 2023
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1386339265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 84093 (CT)
55 LAKE AVE N, Worcester, MA 01655

Secondary Practice Location 1

Location 11115 West StSouthington, CT 06489-6025 · Phone (860) 276-6090

Accepted Insurance

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

Marques Amir 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 ID9032563218
PECOS Enrollment IDI20260622001707
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 Reassignment

Medicare enrollment records show Marques Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
263 FARMINGTON AVE
Farmington, CT 06030
  • Reassigned Medicare billing, Connecticut enrollment
  • 788 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.

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

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 Marques Johnson's NPI number?

The NPI number for Marques Johnson is 1386339265. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Marques Johnson located?

Marques Johnson practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Marques 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 Marques Johnson enrolled in Medicare?

Yes. Marques 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 organization bills Medicare for Marques Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marques Johnson reassigns Medicare benefits to University Of Connecticut Health Center (Farmington, CT). The 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 Marques Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marques Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield list Marques Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marques Johnson was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.