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DR. MALCOLM JOHNSON M.D.
NPI 1699111005
Emergency Medicine in Astoria, NY

Active since May 13, 2013PECOS EnrolledAccepts Medicare Assignment
MOUNT SINAI MEDICAL CENTER, 25-10 30TH AVE, ASTORIA, NY 11102(718) 932-1000 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2025, Apr 1, 2017 (2 updates tracked since 2017).

About Dr. Malcolm Johnson M.d. NPPES

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

DR. MALCOLM JOHNSON M.D. (NPI 1699111005) is an individual emergency medicine provider in Astoria, New York, licensed in New York (288266) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1699111005
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MALCOLM JOHNSONCredential: M.D.
Location AddressMOUNT SINAI MEDICAL CENTER, 25-10 30TH AVEAstoria, NY 11102
Mailing AddressMt Sinai Hosptial, 25-10 30th AveAstoria, NY 11102 · (718) 932-1000 · Fax (203) 785-4580
Phone(718) 932-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 13, 2013
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1699111005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 288266✔ Licensed in CT · 55804
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
MOUNT SINAI MEDICAL CENTER, Astoria, NY 11102
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Secondary Practice Location 1

Location 120 York St # T-209, Yale-New Haven HospitalNew Haven, CT 06510-3220 · Phone (203) 785-5174 · Fax (203) 785-4580

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Dr. Malcolm 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 ID5597085704
PECOS Enrollment IDI20170531000589, I20170907000575
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
135 services134 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
125 services116 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
61 services61 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11102 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
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 2

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

ANUJ D SHAH MD
Emergency Medicine
MOUNT SINAI MEDICAL CENTER, 25-10 30TH AVE
ASTORIA, NY 11102
Queens County (718) 932-1000
DANIEL JAMES MCCONNELL MD
Emergency Medicine
MOUNT SINAI MEDICAL CENTER, 25-10 30TH AVE
ASTORIA, NY 11102
Queens County (718) 932-1000

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 Malcolm Johnson's NPI number?

The NPI number for Malcolm Johnson is 1699111005. It was assigned to this individual provider in the NPPES registry on May 13, 2013.

Where is Malcolm Johnson located?

Malcolm Johnson practices at Mount Sinai Medical Center 25-10 30th Ave, Astoria, NY 11102. The listed phone number is (718) 932-1000.

What is Malcolm Johnson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Malcolm Johnson enrolled in Medicare?

Yes. Malcolm 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 Malcolm Johnson accept?

Health plans from Oscar Insurance Company list Malcolm 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.

Is Malcolm Johnson affiliated with any hospitals?

According to CMS data, Malcolm Johnson is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Mount Sinai Hospital and Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for Malcolm Johnson was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.