TYRONE JOHNSON DPM
NPI 1477746543
Podiatrist - Foot & Ankle Surgery in Brooklyn, NY
About Tyrone Johnson Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYRONE JOHNSON DPM (NPI 1477746543) is an individual foot & ankle surgery provider in Brooklyn, New York, licensed in New York (65 006234) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyrone Johnson Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tyrone Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 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.
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 Tyrone Johnson's NPI number?
The NPI number for Tyrone Johnson is 1477746543. It was assigned to this individual provider in the NPPES registry on August 22, 2007.
Where is Tyrone Johnson located?
Tyrone Johnson practices at 1040 Dean St Apt 714, Brooklyn, NY 11238. The listed phone number is (516) 305-7951.
What is Tyrone Johnson's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Tyrone Johnson enrolled in Medicare?
Yes. Tyrone Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tyrone Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyrone Johnson reassigns Medicare benefits to Sun River Health Inc (Bronx, NY). 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 Tyrone 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 Tyrone Johnson was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Tyrone Johnson, DPM · NPI 1477746543
Foot & Ankle Surgery provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since August 22, 2007.
## Identity
- **NPI:** 1477746543 (Entity type: Individual)
- **Enumerated:** August 22, 2007
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 65 006234 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1040 DEAN ST APT 714, Brooklyn, NY 11238-3484
- **Phone:** (516) 305-7951 · **Fax:** (929) 298-7367
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Sun River Health Inc (NPI 1740763275, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477746543) · Data from the CMS NPPES public registry.