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SHALINI JOHNSON M.D.
NPI 1629287040
Ophthalmology in Houghton, MI

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
404 W SHARON AVE, HOUGHTON, MI 49931(906) 482-5230(906) 482-5343 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shalini Johnson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHALINI JOHNSON M.D. (NPI 1629287040) is an individual ophthalmology provider in Houghton, Michigan, licensed in Michigan (4301102140) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1629287040
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSHALINI JOHNSONCredential: M.D.
Location Address404 W SHARON AVEHoughton, MI 49931-1980
Mailing Address404 W Sharon AveHoughton, MI 49931-1980 · (906) 482-5230 · Fax (906) 482-5343
Phone(906) 482-5230
Fax(906) 482-5343
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 29, 2014
✔ NPI 1629287040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MI · 4301102140✔ Licensed in IA · R-7958
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
404 W SHARON AVE, Houghton, MI 49931
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shalini 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.

PECOS PAC ID2365622388
PECOS Enrollment IDI20130226000534
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.

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49931 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PAUL A LEEP M.D.
Ophthalmology
404 W SHARON AVE
HOUGHTON, MI 49931
Houghton County (906) 482-5230

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 Shalini Johnson's NPI number?

The NPI number for Shalini Johnson is 1629287040. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Shalini Johnson located?

Shalini Johnson practices at 404 W Sharon Ave, Houghton, MI 49931. The listed phone number is (906) 482-5230.

What is Shalini Johnson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shalini Johnson enrolled in Medicare?

Yes. Shalini 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.

What insurance does Shalini Johnson accept?

Health plans from Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Security Health Plan list Shalini Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shalini Johnson was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.