KEVIN N JOHNSON (M.D.) – Surgery Physician, NPI 1366762213
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,444 GENERAL SURGERY in MI
Provider Addresses for KEVIN N JOHNSON (M.D.)
1500 E Medical Center Dr
Ann Arbor, MI 481095000
Phone: (734) 936-4000
Type: Location
1675 Dempster St Fl 3
Park Ridge, IL 600681110
Phone: (847) 318-9330
Fax: (847) 723-9441
Type: Location
3841 GREEN HILLS VILLAGE DR
NASHVILLE, TN 372152691
Phone:
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372321110
Phone: (615) 322-3000
Type: Location
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 481095000
Phone: (734) 936-4000
Type: Location
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
Type: Mailing
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 600681110
Phone: (847) 318-9330
Fax: (847) 723-9441
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: ATRICURE, INC. ($172).
Total Amount
$172
General + Research + Ownership
Payments
1
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $172 |
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: 2023-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220317002135 | I | Pediatric Medicine | IL | TBD |
| I20231025003492 | I | General Surgery | TN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TN | |
| Pediatric Medicine | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology, Interventional Pain Management | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| N E U R O L O G Y | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Internal Medicine | TN |
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