DR. MONTE JOHNSON M.D. NPI 1174562862

NPI Information

  • NPI: 1174562862
  • Provider Name: DR. MONTE JOHNSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2925 CHICAGO AVE
    MINNEAPOLIS, MN
    ZIP 55407
  • Phone: (612) 863-4000

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NPI Details

DR. Monte Johnson, M.D. is a family medicine in Minneapolis, MN with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Monte Johnson, M.D. NPI is 1174562862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1999

The provider's business location address is:

2925 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55407-321
Phone: (612) 863-4000

The NPI 1174562862 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Acupuncture, each additional 15 minutes (HCPCS:97811)
  • Acupuncture, initial 15 minutes (HCPCS:97810)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 5/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine42662MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CS6766MEDICARE PIN
2080014771MEDICARE PIN
3C08414MEDICARE PIN
4620K7JOOTHERBCBS
5H20759MEDICARE UPIN
639-22239OTHERMEDICA U/C
7203618500MEDICAIDMINNESOTA
8HP35367OTHERHEALTH PARTNERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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