SAMUEL JOHNSON MD NPI 1891713186

NPI Information

  • NPI: 1891713186
  • Provider Name: SAMUEL JOHNSON, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24500 NORTHWESTERN HWY
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 353-1280

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NPI Details

Samuel Johnson, MD is a specialist in Southfield, MI with 44 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Samuel Johnson, MD NPI is 1891713186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1982

The provider's business location address is:

24500 NORTHWESTERN HWY
SOUTHFIELD, MI
ZIP 48075-414
Phone: (248) 353-1280
Fax: (248) 353-6193

The NPI 1891713186 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.

  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)

The enumeration date for this NPI number is 7/17/2006 and was last updated on 12/5/2007.

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
1174400000XSpecialist4301051997MICHIGANYes

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
1A79476MEDICARE UPIN
21967470MEDICAIDMICHIGAN
3H26107050MEDICARE PIN

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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