DR. SHAWN MARK JOHNSON MD NPI 1811908445

NPI Information

  • NPI: 1811908445
  • Provider Name: DR. SHAWN MARK JOHNSON, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5001 US HIGHWAY 30 W STE D
    FORT WAYNE, IN
    ZIP 46818
  • Phone: (260) 432-1568

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NPI Details

DR. Shawn Mark Johnson, MD is a diagnostic radiology radiology in Fort Wayne, IN with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Shawn Mark Johnson, MD NPI is 1811908445. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
ZIP 46818-701
Phone: (260) 432-1568
Fax: (260) 432-4969

The NPI 1811908445 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.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Mri scan of both breasts (HCPCS:77049)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Biopsy of breast and placement of locating device using x-ray with needle, first growth (HCPCS:19081)

The enumeration date for this NPI number is 8/10/2006 and was last updated on 6/17/2016.

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
12085R0202XRadiologyDiagnostic Radiology01061755AINDIANAYes

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
1P00787713MEDICARE PINMICHIGAN
2981270PPMEDICARE PININDIANA
3I51121MEDICARE UPIN
4200812580MEDICAIDINDIANA
5P00379093MEDICARE PININDIANA
62658520MEDICAIDOHIO
71811908445MEDICAIDMICHIGAN
8MI1209003MEDICARE PINMICHIGAN

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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