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Deactivated NPI 1801005525 Deactivated / Inactive NPI Female Practitioner

Dr. Rajitha Johnson , MD

Internal Medicine • Lincoln, NE

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Rajitha Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2007
NPI Deactivation Date February 02, 2021
Total Practice Duration ~39 Years of Practice (1982 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Rajitha Johnson, MD was a registered Internal Medicine practicing in Lincoln, NE. Throughout an active medical career spanning 39 years, Dr. Johnson provided care at the practice location at NEBRASKA STATE PENITIENTIARY until profile deactivation on 2021-02-02.

Dr. Johnson was affiliated with Lifecare Family Medicine Of Bellevue Pc and accepted Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

Nebraska State Penitientiary
4201 S 14th St

Lincoln, NE 685061054

Telephone 4024793218
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lincoln, NE

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs +20.3 yrs vs City Avg
City Avg: 23.7 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
88 Specialists

Practicing in Lincoln, NE (834 Statewide)

Telehealth Adoption Rate
14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (44 Years) 44 Yrs
Lincoln Specialty Average (23.7 Years) 23.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-07-12
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NE 17057

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Lifecare Family Medicine Of Bellevue Pc

8074 S 84th St, La Vista, NE 681283303

Phone: 4027797207

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. John Casebolt , MD

Family Medicine

NPI 1316155278

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location July 18, 2023

Registered at NEBRASKA STATE PENITIENTIARY, 4201 S 14TH ST, LINCOLN, NE 685061054 (Tel: 4024793218)

📍
Updated Business Mailing Address July 18, 2023

Registered at 801 W PROSPECTOR PL BLDG 1, LINCOLN, NE 685221970 (Tel: 4024055683)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2023

Internal Medicine (License #17057 in NE)

📍
Updated Practice Location October 31, 2021

Registered at 1838 KILMORY DR, FLORISSANT, MO 630311054 (Tel: 3142976651)

📍
Updated Business Mailing Address October 31, 2021

Registered at 1838 KILMORY DR, FLORISSANT, MO 630311054 (Tel: 3142976651)

👤
Provider Name / Credentials Updated October 31, 2021

Recorded as RAJITHA JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2021

Clinic/Center

⚠️
NPI Profile Deactivated February 02, 2021

Record deactivated on February 02, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 47 QUEENSBROOK PL, SAINT LOUIS, MO 631323018 (Tel: 3149899133)

📍
Updated Business Mailing Address July 08, 2007

Registered at 47 QUEENSBROOK PL, SAINT LOUIS, MO 631323018 (Tel: 3149899133)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RAJITHA GOLI, M.D.

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

Internal Medicine

🟢
Initial NPI Registration & Enumeration May 21, 2007

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: 1801005525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2007
Last Update: July 18, 2023
Deactivation Date: February 02, 2021
Sole Proprietor: No

Mailing Address

801 W Prospector Pl Bldg 1

Lincoln, NE 685221970

Phone: 4024055683

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.