DR. RAJITHA JOHNSON (M.D.) – Internal Medicine Physician, NPI 1801005525
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
753 INTERNAL MEDICINE in NE
Provider Addresses for DR. RAJITHA JOHNSON (M.D.)
NEBRASKA STATE PENITIENTIARY
4201 S 14TH ST
LINCOLN, NE 685061054
Phone: (402) 479-3218
Type: Location
47, Queensbrook Place, Kingsbrook Acres, Olivette, Saint Louis County, Missouri, 63132, United States
SAINT LOUIS, MO 631323018
Phone: (314) 989-9133
Type: Mailing
1838 KILMORY DR
FLORISSANT, MO 630311054
Phone: (314) 297-6651
Type: Mailing
801 W PROSPECTOR PL BLDG 1
LINCOLN, NE 685221970
Phone: (402) 405-5683
Type: Mailing
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: 2023-11-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231120000635 | I | Internal Medicine | NE | 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 68506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NE |
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