BENJAMIN H JOHNSON (MD) – Family Medicine Physician, NPI 1164428280

Family Medicine Physician

BENJAMIN H JOHNSON (MD) is a healthcare provider. based in Duluth, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 30419 (WI). The NPI Number for BENJAMIN H JOHNSON (MD) is 1164428280

Main info

Male

38 Years Of Experience

Accepts Medicare Assignment

Name

BENJAMIN H JOHNSON (MD)

NPI

1164428280

Phone

(218) 249-5700

Address

4190 LOBERG AVE

Enumeration Date

23 June 2005

Last Update Date

27 January 2017

Doctor Profile

Medical School Name

UNIVERSITY OF MINNESOTA MEDICAL SCHOOL

Secondary Phone

2182497860

Graduation Year

1988 (38 years ago)

PAC ID

2466585831

Group Practice PAC ID

7113834839

Professional Enrollment ID

I20130416000702

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience63

Completeness75

Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for BENJAMIN H JOHNSON (MD)

4190 LOBERG AVE
DULUTH, MN 558112652
Phone: (218) 249-5700
Fax: (218) 249-4666
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 55811)

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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: 7113834839View full group profile

Name	Specialty	State
SCOTT IAN HALVORSON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MN
LISA M HEBL (PA-C)	-	MN
JOSEPH RAYMOND SCHNEIDER (MD)	Vascular Surgery	IL
SARA LYNNE SIMONSON (PA-C)	Physician Assistant	MN
DR. DALTON GRIMM (MD)	Emergency Medicine	MN
JEANETTE L DOHNANSKY-FRANK (WHCNP)	-	MN
CAMERON DAVID JOHNSON (DO)	Emergency Medicine	MN
BARI SCHECKNER HILLMAN (PHD)	-	MN
ALAN PAUL JOHNSON (PA-C)	Physician Assistant	MN
ANNE CHANDRI DEEPIKA SILVA-BENEDICT (MD)	Hematology/Oncology, Internal Medicine	MN

Reviews

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Frequently asked questions

Is BENJAMIN H JOHNSON (MD) listed with a National Provider Identifier?

Yes — BENJAMIN H JOHNSON (MD) has NPI 1164428280 on file in the registry.

Is BENJAMIN H JOHNSON (MD) still an active registrant?

BENJAMIN H JOHNSON (MD) carries an active NPI according to the public dataset.

What kind of doctor is BENJAMIN H JOHNSON (MD)?

BENJAMIN H JOHNSON (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.

Where in Minnesota is BENJAMIN H JOHNSON (MD) registered?

Use Duluth, Minnesota as the headline location for BENJAMIN H JOHNSON (MD) here.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.

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