ROTIMI JOHNSON (MD) – Vascular & Interventional Radiology Physician, NPI 1144537051

ROTIMI JOHNSON (MD) is a healthcare provider. based in Columbia, Missouri. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 036123822 (IL). The NPI Number for ROTIMI JOHNSON (MD) is 1144537051

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
ROTIMI JOHNSON (MD)
NPI
1144537051
Phone
(573) 815-8000
Address
1600 E BROADWAY
Enumeration Date
13 September 2010
Last Update Date
26 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6415755675
Graduation Year
2006 (20 years ago)
PAC ID
8628226016
Professional Enrollment ID
I20240628003807
Address ID
IA525012506OT301XXSTXX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

162 INTERVENTIONAL RADIOLOGY in MO

Provider Addresses for ROTIMI JOHNSON (MD)

  • 1600 E BROADWAY

    COLUMBIA, MO 652015844

    Phone: (573) 815-8000

    Fax: (844) 876-0881

    Type: Location

  • PO BOX 3242

    INDIANAPOLIS, IN 462063242

    Phone: (317) 705-6708

    Type: Mailing

  • 2385 BOWES RD STE 350

    ELGIN, IL 601235501

    Phone: (847) 429-2091

    Fax: (847) 429-2440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $125,105.

Total Amount is formed as General ($125,105) + Research ($0) + Ownership ($0) = $125,105.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($121,175).

Total Amount

$125,105

General + Research + Ownership

Payments

90

Total payment records

General Amount

$125,105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2024-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20160408000763IInterventional RadiologyILTBD
I20201216000824IInterventional RadiologyNCTBD
I20240628003807IInterventional RadiologyIATBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml5,49261$0
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml46316$0
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes42754$0
J2250Injection, midazolam hydrochloride, per 1 mg23557$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes157103$0
View full utilization report →

Insurance plans in this area (ZIP 65201)

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Provider's Procedures

ROTIMI JOHNSON (MD) performs procedures in INTERVENTIONAL RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMO62311Injections of substances into lower or sacral spine1918
DIAGNOSTIC RADIOLOGYMO71250CT scan chest6663
DIAGNOSTIC RADIOLOGYMO73562X-ray of knee, 3 views2725
DIAGNOSTIC RADIOLOGYMO74177CT scan of abdomen and pelvis with contrast2525
DIAGNOSTIC RADIOLOGYMO78815Nuclear medicine study with CT imaging skull base to mid-thigh2020

Reviews

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Frequently asked questions

Is ROTIMI JOHNSON (MD) listed with a National Provider Identifier?
Yes — ROTIMI JOHNSON (MD) has NPI 1144537051 on file in the registry.
Would ROTIMI JOHNSON (MD) appear as active to a payer?
You can treat ROTIMI JOHNSON (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ROTIMI JOHNSON (MD)?
ROTIMI JOHNSON (MD)'s specialty line reads Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Is ROTIMI JOHNSON (MD) located near Columbia?
ROTIMI JOHNSON (MD) currently maps to Columbia, Missouri in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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