MICHAEL ISAAC JOHNSON DPM
NPI 1902366883
Podiatrist - Foot Surgery in New York, NY

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
295 MADISON AVE FL 4, NEW YORK, NY 10017(212) 682-6620 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, Aug 28, 2023, Aug 14, 2023 and 1 more (4 updates tracked since 2023).

About Michael Isaac Johnson Dpm NPPES

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

MICHAEL ISAAC JOHNSON DPM (NPI 1902366883) is an individual foot surgery provider in New York, New York, licensed in New York (N00728501) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902366883
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameMICHAEL ISAAC JOHNSONCredential: DPM
Location Address295 MADISON AVE FL 4New York, NY 10017-7716
Mailing Address2742 Brown St Fl 2Brooklyn, NY 11235-1612 · (716) 495-2522
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateJune 3, 20254 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1902366883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NY · N00728501
295 MADISON AVE FL 4, New York, NY 10017

Other Names 1

Former Name (1)Michael Isaac Johnson

Secondary Practice Locations 2

Location 1101 Greenwich St Fl 15New York, NY 10006-1886 · Phone (212) 374-0150
Location 2336 W Passaic St Ste 311Rochelle Park, NJ 07662-3027 · Phone (646) 306-5340

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Isaac Johnson Dpm 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 ID2860997640
PECOS Enrollment IDI20250923003740
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

2

Medicare enrollment records show Michael Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
8046 KEW GARDENS RD
Kew Gardens, NY 11415
  • Reassigned Medicare billing, New York enrollment
  • 44 clinicians in this Medicare group
Podiatric
2742 BROWN ST FL 2
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment

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

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

Surgery
295 MADISON AVE FL 4
NEW YORK, NY 10017

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 Michael Johnson's NPI number?

The NPI number for Michael Johnson is 1902366883. It was assigned to this individual provider in the NPPES registry on March 25, 2019. The provider is also known as Michael Isaac Johnson.

Where is Michael Johnson located?

Michael Johnson practices at 295 Madison Ave Fl 4, New York, NY 10017. The listed phone number is (212) 682-6620.

What is Michael Johnson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Michael Johnson enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Johnson reassigns Medicare benefits to 2 organizations: New York Medical & Diagnostic Center Inc (Kew Gardens, NY) and M Isaac Johnson DPM PLLC (Brooklyn, NY). 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 Michael 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 Michael Johnson was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.