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NPI · 1841379187 · NPPES-sourced

Dr. Dwayne Johnson M.D.

ActivePediatrics
NPI Number
1841379187
Type 1 · Individual
Taxonomy Code
208000000X
Contact
(574) 584-7373
License IN · 01073977A
Last Updated
Enumerated
Primary practice addressIN · 46516-4666
236 Simpson AveElkhart, IN 46516-4666
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About this NPIWhat this record shows.

NPI 1841379187 is registered to Dr. Dwayne Johnson M.D., a Pediatrics practising at 236 Simpson Ave in Elkhart, Indiana. Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21. Dr. Dwayne Johnson M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 611336483· Issued by COMMONWEALTH HEALTH ALLIA
  • 611336483· Issued by MAIL HANDLERS BENEFIT PLA
  • 611336483· Issued by PPONEXT
  • 611336483· Issued by UNITED HEALTHCARE
  • 2435769000· Issued by PASSPORT ADVANTAGE
  • 611336483· Issued by HUMANA HEALTH PLAN, INC.
  • 1087687· Issued by PASSPORT HEALTH PLAN
  • 611336483· Issued by PREFERRED HEALTH PLAN
  • 000000052119· Issued by ANTHEM
  • 2133380· Issued by AETNA
  • 611336483· Issued by 4MOST HEALTH NETWORK
  • 87043· Issued by FIRST HEALTH NETWORK

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Dwayne Johnson M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Dwayne Johnson M.D. directly at (574) 584-7373.

Frequently asked

Yes. NPI 1841379187 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (574) 584-7373.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Dwayne Johnson M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208000000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Pediatrics providers in Indiana.

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