KELLY ROSE JOHNSON
NPI 1427410281
Surgery in Bronx, NY
About Kelly Rose Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ROSE JOHNSON (NPI 1427410281) is an individual surgery provider in Bronx, New York, licensed in New York (310107-01) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).
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
Kelly Rose 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 Kelly Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 114 clinicians in this Medicare group
Port Jefferson Station, NY 11776
- Reassigned Medicare billing, New York enrollment
- 636 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Suny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician 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.
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 17
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 Kelly Johnson's NPI number?
The NPI number for Kelly Johnson is 1427410281. It was assigned to this individual provider in the NPPES registry on March 22, 2016.
Where is Kelly Johnson located?
Kelly Johnson practices at 1521 Jarret Pl, Bronx, NY 10461. The listed phone number is (718) 862-8840.
What is Kelly Johnson's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Kelly Johnson enrolled in Medicare?
Yes. Kelly 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 Kelly Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Johnson reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (Bronx, NY), Stony Brook Surgical Associates, University Faculty Practice Corporati (Stony Brook, 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 Kelly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Johnson affiliated with any hospitals?
According to CMS data, Kelly Johnson is affiliated with Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Johnson was last updated on April 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelly Rose Johnson · NPI 1427410281
Surgery physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since March 22, 2016.
## Identity
- **NPI:** 1427410281 (Entity type: Individual)
- **Enumerated:** March 22, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 310107-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1521 JARRET PL, Bronx, NY 10461-2606
- **Phone:** (718) 862-8840
## 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): Montefiore Medical Center (NPI 1063525152, Bronx, NY); Stony Brook Surgical Associates, University Faculty Practice Corporati (NPI 1063468536, Stony Brook, NY); North Shore Hematology Oncology Associates PC (NPI 1396794574, Port Jefferson Station, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2016
## Record status
- **NPPES last updated:** April 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1427410281) · Data from the CMS NPPES public registry.