KEVIN JOHNSON
NPI 1396155511
Psychiatry & Neurology - Addiction Medicine in Syracuse, NY
About Kevin Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN JOHNSON (NPI 1396155511) is an individual addiction medicine provider in Syracuse, New York, licensed in New York (294176) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Camillus, and is a graduate of Js Weill Medical College, Cornell University (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Kevin Johnson 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 Kevin Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 171 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 189 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 159 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13203 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kevin Johnson's NPI number?
The NPI number for Kevin Johnson is 1396155511. It was assigned to this individual provider in the NPPES registry on April 28, 2014.
Where is Kevin Johnson located?
Kevin Johnson practices at 1045 James Street, Syracuse, NY 13203. The listed phone number is (315) 472-4471.
What is Kevin Johnson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.
Is Kevin Johnson enrolled in Medicare?
Yes. Kevin 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 Kevin Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Johnson reassigns Medicare benefits to 3 organizations: Psychiatry Faculty Practice, Inc. (Syracuse, NY), Crouse Health Hospital Inc (Syracuse, NY) and Crouse Medical Practice, PLLC (Syracuse, 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 Kevin 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 Kevin Johnson was last updated on September 16, 2024. 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.
# Kevin Johnson · NPI 1396155511
Addiction Medicine physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since April 28, 2014.
## Identity
- **NPI:** 1396155511 (Entity type: Individual)
- **Enumerated:** April 28, 2014
- **Primary specialty:** Psychiatry & Neurology - Addiction Medicine · taxonomy 2084A0401X
- **State license:** 294176 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1045 JAMES STREET, Syracuse, NY 13203
- **Phone:** (315) 472-4471 · **Fax:** (315) 999-1377
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Psychiatry Faculty Practice, Inc. (NPI 1881084820, Syracuse, NY); Crouse Health Hospital Inc (NPI 1841340205, Syracuse, NY); Crouse Medical Practice, PLLC (NPI 1922321934, Syracuse, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Js Weill Medical College, Cornell University, class of 2014
## Record status
- **NPPES last updated:** September 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396155511) · Data from the CMS NPPES public registry.