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ELIJAH JOHNSON MD
NPI 1750023602
Internal Medicine in Albuquerque, NM

Active since April 11, 2022PECOS Enrolled
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108(505) 265-1711 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2025, Apr 11, 2022 (2 updates tracked since 2022).

About Elijah Johnson Md NPPES

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

ELIJAH JOHNSON MD (NPI 1750023602) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2025-0527) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750023602
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameELIJAH JOHNSONCredential: MD
Location Address1501 SAN PEDRO DR SEAlbuquerque, NM 87108-5153
Mailing Address3301 Monroe St Ne Unit K111Albuquerque, NM 87110-1874 · (505) 720-5240
Phone(505) 265-1711
Sole ProprietorYes
Enumeration DateApril 11, 2022
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1750023602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2025-0527
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1501 SAN PEDRO DR SE, Albuquerque, NM 87108
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elijah 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 87108 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

AMANDA P SAMPSON PHARMD
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
DR. KENDRA SAXVIK PHARM.D.
Pharmacist (Psychiatric)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
SAMANTHA TRAVIERSO
Physician Assistant
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MISS DESIREY MARIE HANKINS LMSW
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
JOSEPH F. OSER M.D.
Internal Medicine (Geriatric Medicine)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MARGARET PEGGY SPENCER MD
Family Medicine
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
STEPHANIE D HOISINGTON PHARM D
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
ALLISYA OTTO
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711

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 Elijah Johnson's NPI number?

The NPI number for Elijah Johnson is 1750023602. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Elijah Johnson located?

Elijah Johnson practices at 1501 San Pedro Dr SE, Albuquerque, NM 87108. The listed phone number is (505) 265-1711.

What is Elijah Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elijah Johnson enrolled in Medicare?

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

When was this NPI record last updated?

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