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ROBERT JOHNSON
NPI 1740224732
Specialist in Minneapolis, MN

Active since June 16, 2006PECOS Enrolled
5 W LAKE ST, MINNEAPOLIS, MN 55408(612) 545-9000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Robert Johnson NPPES

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

ROBERT JOHNSON (NPI 1740224732) is an individual specialist in Minneapolis, Minnesota, licensed in Minnesota (22027) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740224732
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameROBERT JOHNSON
Location Address5 W LAKE STMinneapolis, MN 55408-3117
Mailing Address7626 Carnelian LnEden Prairie, MN 55346-4345
Phone(612) 545-9000
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740224732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MN · 22027
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5 W LAKE ST, Minneapolis, MN 55408
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Other Identifiers 2

Medicare UPINA95336
Medicaid589790400MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Johnson 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Robert Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Park Nicollet Clinic
2.0 mi
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1912315144 (952) 977-0700
Fairview Express Care
3.0 mi
Multi-Specialty
2312 S 6TH ST STE F105
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1053952606 (612) 273-3565
Tria Orthopaedic Center LLC
6.5 mi
Orthopaedic Surgery
8100 NORTHLAND DR
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 693 clinicians in this Medicare group
NPI 1346624384 (952) 831-8742

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

LORA LEE E KOEPP PNP
Nurse Practitioner (Pediatrics)
5 W LAKE ST
MINNEAPOLIS, MN 55408
Hennepin County (612) 545-9000
JANMEET SANDHU M.D.
Student in an Organized Health Care Education/Training Program
5 W LAKE ST, FAMILY MEDICAL CENTER
MINNEAPOLIS, MN 55408
Hennepin County (612) 545-9000
NAZMEEN MERFELD M.D.
Student in an Organized Health Care Education/Training Program
5 W LAKE ST
MINNEAPOLIS, MN 55408
Hennepin County (612) 545-9000
AYHAM MOTY MD
Family Medicine
5 W LAKE ST
MINNEAPOLIS, MN 55408
Hennepin County (612) 545-9222
SUZANNE LEROY NP
Nurse Practitioner
5 W LAKE ST
MINNEAPOLIS, MN 55408
Hennepin County (612) 545-9222
ANNE ZACHMAN
Nurse Practitioner
5 W LAKE ST
MINNEAPOLIS, MN 55408
Hennepin County (612) 545-9000
HENRY KERANDI
Specialist
5 W LAKE ST
MINNEAPOLIS, MN 55408
Hennepin County (612) 545-9000
AJIT SANDHAR
Student in an Organized Health Care Education/Training Program
5 W LAKE ST
MINNEAPOLIS, MN 55408
Hennepin County (612) 545-9222

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 Robert Johnson's NPI number?

The NPI number for Robert Johnson is 1740224732. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Robert Johnson located?

Robert Johnson practices at 5 W Lake St, Minneapolis, MN 55408. The listed phone number is (612) 545-9000.

What is Robert Johnson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Robert Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Robert Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Johnson reassigns Medicare benefits to 3 organizations: Park Nicollet Clinic (Minneapolis, MN), Fairview Express Care (Minneapolis, MN) and Tria Orthopaedic Center LLC (Bloomington, MN). 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 Robert 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 Robert Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.