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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RUSSELL JOHNSON MD
NPI 1700585916
Emergency Medicine in Las Vegas, NV

Active since February 27, 2023PECOS Enrolled
2880 N TENAYA WAY, LAS VEGAS, NV 89128(702) 562-5519 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Feb 27, 2023 (2 updates tracked since 2023).

About Russell Johnson Md NPPES

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

RUSSELL JOHNSON MD (NPI 1700585916) is an individual emergency medicine provider in Las Vegas, Nevada, licensed in Nevada (LL4729) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700585916
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRUSSELL JOHNSONCredential: MD
Location Address2880 N TENAYA WAYLas Vegas, NV 89128-0618
Mailing Address2880 N Tenaya WayLas Vegas, NV 89128-0618
Phone(702) 562-5519
Sole ProprietorNo
Enumeration DateFebruary 27, 2023
Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1700585916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NV · LL4729
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.
2880 N TENAYA WAY, Las Vegas, NV 89128
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 20

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

DANIEL MCRAE BLACKMORE DO
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 235-6630
ANISA AZAD DO
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9540
ERENE YUSTINA ABDELMESEEH MD
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9540
RAGHAVENDRA AKHIL BOGABATHINA
Internal Medicine
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9540
YUKTI KARKI MD
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 427-6398
YOUSSEF BESHAY
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (725) 377-3655
DR. KENNETH FRANK PEREIRA DO
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9546
NICOLE INFANTINO DO
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 769-5937

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 Russell Johnson's NPI number?

The NPI number for Russell Johnson is 1700585916. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Russell Johnson located?

Russell Johnson practices at 2880 N Tenaya Way, Las Vegas, NV 89128. The listed phone number is (702) 562-5519.

What is Russell Johnson's specialty?

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

Is Russell Johnson enrolled in Medicare?

Yes. Russell Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Johnson was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.