Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154359073 Individual Practitioner Male Practitioner

Dr. Kevin M Johnson , MD

Specialist • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Johnson, MD is a registered healthcare professional specializing in Specialist in Bellevue, WA. Practice services are available at 1135 116TH AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1135 116th Ave Ne
Suite 640

Bellevue, WA 980044623

Telephone 4256464700
Fax 4256461076
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.2 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
116 Specialists

Practicing in Bellevue, WA (2751 Statewide)

Telehealth Adoption Rate
1.7% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA 0028665

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8128084 (WA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Jo Gray , ARNP

Registered Nurse

NPI 1053437897

Advanced Registered Nurse Practitioner

NPI 1518083237

Advanced Registered Nurse Practitioner

Jami Taylor , ARNP

Obstetrics & Gynecology - Reproductive Endocrinology

NPI 1669036240

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 19, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2007

Registered at 1135 116TH AVE NE, SUITE 640, BELLEVUE, WA 980044623 (Tel: 4256464700)

📍
Updated Business Mailing Address October 19, 2007

Registered at PO BOX 84353, SEATTLE, WA 981245653 (Tel: 4256464700)

👤
Provider Name / Credentials Updated October 19, 2007

Recorded as KEVIN JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2007

Specialist (License #0028665 in WA)

🟢
Initial NPI Registration & Enumeration June 29, 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: 1154359073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: October 19, 2007
Sole Proprietor: No

Mailing Address

Po Box 84353

Seattle, WA 981245653

Phone: 4256464700

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.