CANDACE L JOHNSON M.D.
NPI 1417242553
Pediatrics - Pediatric Infectious Diseases in New York, NY
About Candace L Johnson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDACE L JOHNSON M.D. (NPI 1417242553) is an individual pediatric infectious diseases provider in New York, New York, licensed in New York (276035) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2011).
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
Candace L Johnson M.d. 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
2Medicare enrollment records show Candace Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 612 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1982993184 (New York)
- 3,922 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 10032
NEW YORK, NY 10032
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 Candace Johnson's NPI number?
The NPI number for Candace Johnson is 1417242553. It was assigned to this individual provider in the NPPES registry on June 16, 2011.
Where is Candace Johnson located?
Candace Johnson practices at 3959 Broadway Suite 106, New York, NY 10032. The listed phone number is (212) 305-6490.
What is Candace Johnson's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.
Is Candace Johnson enrolled in Medicare?
Yes. Candace 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 Candace Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candace Johnson reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and Trustees Of Columbia University In The City Of New York (New York, 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 Candace 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 Candace Johnson was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Candace L Johnson, M.D. · NPI 1417242553
Pediatric Infectious Diseases physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 16, 2011.
## Identity
- **NPI:** 1417242553 (Entity type: Individual)
- **Enumerated:** June 16, 2011
- **Primary specialty:** Pediatrics - Pediatric Infectious Diseases · taxonomy 2080P0208X
- **State license:** 276035 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3959 BROADWAY, SUITE 106, New York, NY 10032-1559
- **Phone:** (212) 305-6490 · **Fax:** (212) 342-5218
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Trustees Of Columbia University In The City Of New York (NPI 1437176047, New York, NY); Trustees Of Columbia University In The City Of New York (NPI 1477068971, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine, class of 2011
## Record status
- **NPPES last updated:** March 21, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1417242553) · Data from the CMS NPPES public registry.