ALEXANDER L JOHNSON (MD) – Hospitalist Physician, NPI 1083049860

ALEXANDER L JOHNSON (MD) is a healthcare provider. based in Modesto, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A144149 (CA). The NPI Number for ALEXANDER L JOHNSON (MD) is 1083049860

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER L JOHNSON (MD)
NPI
1083049860
Phone
(209) 521-6097
Address
600 COFFEE RD
Enumeration Date
11 September 2013
Last Update Date
3 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2095241211
Graduation Year
2012 (14 years ago)
PAC ID
5395024657
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20161109002777
Address ID
CA953554201MO600XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

21,558 INTERNAL MEDICINE in CA

Provider Addresses for ALEXANDER L JOHNSON (MD)

  • 600 COFFEE RD

    MODESTO, CA 953554201

    Phone: (209) 521-6097

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161109002777IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes251118$0
99239Hospital discharge day management, more than 30 minutes7372$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6160$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4023$0
View full utilization report →

Insurance plans in this area (ZIP 95355)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830094515View full group profile

Reviews

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Frequently asked questions

How do I look up ALEXANDER L JOHNSON (MD) by NPI?
Use NPI 1083049860 when you need to reference ALEXANDER L JOHNSON (MD) in forms, claims, or directories.
Does this profile mean ALEXANDER L JOHNSON (MD) is currently active?
Yes — ALEXANDER L JOHNSON (MD) appears active in the national provider directory.
What kind of provider is ALEXANDER L JOHNSON (MD)?
The page reflects Hospitalist Physician for ALEXANDER L JOHNSON (MD). Clinical services aligned with this taxonomy classification.
Does ALEXANDER L JOHNSON (MD) practice in California?
You will see Modesto, California on file for ALEXANDER L JOHNSON (MD) alongside any extra practice locations.
Is ALEXANDER L JOHNSON (MD) a real provider?
This page reflects official NPPES data for NPI 1083049860. Always confirm identity and privileges with the practice and licensing boards.

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