GREGORY D JOHNSEN MD NPI 1710957105

NPI Information

  • NPI: 1710957105
  • Provider Name: GREGORY D JOHNSEN, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1265 S UTICA AVE
    SUITE 300
    TULSA, OK
    ZIP 74104
  • Phone: (918) 592-0999

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NPI Details

Gregory D Johnsen, MD is an interventional cardiology internal medicine in Tulsa, OK with 38 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Gregory D Johnsen, MD NPI is 1710957105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1988

The provider's business location address is:

1265 S UTICA AVE
SUITE 300
TULSA, OK
ZIP 74104-243
Phone: (918) 592-0999
Fax: (918) 592-1021

The NPI 1710957105 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Coronary angioplasty and stenting (HCPCS:NAN05)

The enumeration date for this NPI number is 1/26/2006 and was last updated on 3/4/2014.

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
1174400000XSpecialist16972OKLAHOMANo
2207RI0011XInternal MedicineInterventional Cardiology16972OKLAHOMAYes

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
1110104903OTHEROKLAHOMAMEDICARE RAILROAD
2100254430AMEDICAIDOKLAHOMA
3E86866MEDICARE UPINOKLAHOMA
4OK400770OTHEROKLAHOMAMEDICARE PTAN
5P00611405OTHEROKLAHOMAMEDICARE RAILROAD

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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