Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124093265 Individual Practitioner Female Practitioner

Dr. Debra Deanovic Johnson , MD

Pediatrics • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Debra Johnson, MD is a registered healthcare professional specializing in Pediatrics in Minneapolis, MN. Practice services are available at 2220 RIVERSIDE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2220 Riverside Ave
Mail Stop 31700a

Minneapolis, MN 554541321

Telephone 6123711600
Fax 6123711732
Associated Practice Facility / Clinic
🏢 Group Health Plan Inc Facility NPI 1700932449

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
277 Specialists

Practicing in Minneapolis, MN (1325 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 26260

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
310382000 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Nghia La , MD

Family Medicine

NPI 1013199553

Doctor of Medicine (M.D.)

NPI 1013981844

Doctor of Medicine (M.D.)

NPI 1023109659

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Dr. Robert Olson , MD

Internal Medicine - Gastroenterology

NPI 1033182696

Doctor of Medicine (M.D.)

Dr. John Hering , MD

Obstetrics & Gynecology

NPI 1033187745

Doctor of Medicine (M.D.)

Raymond Soderlund , PA

Physician Assistant - Surgical

NPI 1043425044

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address February 28, 2020

Registered at 8170 33RD AVE S, BLOOMINGTON, MN 554254516 (Tel: 9529677676)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2220 RIVERSIDE AVE, MAIL STOP 31700A, MINNEAPOLIS, MN 554541321 (Tel: 6123711600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 554251672 (Tel: 9528837961)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DEBRA JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #26260 in MN)

🟢
Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124093265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2006
Last Update: February 28, 2020
Sole Proprietor: No

Mailing Address

8170 33rd Ave S

Bloomington, MN 554254516

Phone: 9529677676

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.