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

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

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 and maintains a secondary practice location in Southington.

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
Enumeration DateApril 7, 2023
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marques Amir Johnson Md 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.

Emergency Medicine
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
Anesthesiology
55 LAKE AVE N
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 enrollment system.

When was this NPI record last updated?

The NPPES record for Marques Johnson was last updated on June 8, 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.