ANGEL MARIE JOHNSON (M.D.) – Gynecology Physician, NPI 1194005934

ANGEL MARIE JOHNSON (M.D.) is a healthcare provider. based in New york, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 258657 (MA). The NPI Number for ANGEL MARIE JOHNSON (M.D.) is 1194005934

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ANGEL MARIE JOHNSON (M.D.)
NPI
1194005934
Phone
(408) 529-2965
Address
910 WASHINGTON STREET
Enumeration Date
25 August 2011
Last Update Date
29 January 2020

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
5082380800
Graduation Year
2010 (16 years ago)
PAC ID
7214154095
Group Practice PAC ID
1153516513
Professional Enrollment ID
I20170512001716
Address ID
MA023561032NO31XXXWAYX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,231 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for ANGEL MARIE JOHNSON (M.D.)

  • 910 WASHINGTON STREET

    SUITE 200

    NEW YORK, MA 100287173

    Phone: (408) 529-2965

    Type: Location

  • 910 WASHINGTON ST

    DEDHAM, MA 020266022

    Phone: (408) 529-2965

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 132 Open Payments records for all available years, with a total value of $20,666.

Total Amount is formed as General ($20,666) + Research ($0) + Ownership ($0) = $20,666.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Axonics, Inc. ($18,891).

Total Amount

$20,666

General + Research + Ownership

Payments

132

Total payment records

General Amount

$20,666

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-05-12

PECOS data refreshed: 2026-05-27

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
I20170512001716IObstetrics/GynecologyMATBD

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
J0585Injection, onabotulinumtoxina, 1 unit7,40045$0
87798Detection test by nucleic acid for organism, amplified probe technique2,379120$0
81003Automated urinalysis test1,207594$0
99214Established patient office or other outpatient visit, 30-39 minutes958501$0
51798Ultrasound measurement of bladder capacity after voiding879499$0
View full utilization report →

Insurance plans in this area (ZIP 10028)

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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: 1153516513View full group profile

Reviews

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Frequently asked questions

How do payers reference ANGEL MARIE JOHNSON (M.D.)?
For ANGEL MARIE JOHNSON (M.D.), use NPI 1194005934 as the unique 10-digit identifier.
Is there an active status for ANGEL MARIE JOHNSON (M.D.)?
For scheduling context, ANGEL MARIE JOHNSON (M.D.) is shown as active in the registry.
What kind of doctor is ANGEL MARIE JOHNSON (M.D.)?
ANGEL MARIE JOHNSON (M.D.) is associated with Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is ANGEL MARIE JOHNSON (M.D.) registered?
Use New York, Massachusetts as the headline location for ANGEL MARIE JOHNSON (M.D.) here.
Does ANGEL MARIE JOHNSON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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