Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Timothy Johnson, MD

Individual provider Cardiovascular Disease Physician · NPI 1053317198

Dr. Charles Timothy Johnson, MD is a Cardiac Electrophysiology in Fort Collins, Colorado. Graduated from Indiana University School of Medicine in 1990, 36 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado, Nebraska and Wyoming.

Years since qualifying
36
Trained at
Indiana University School of Medicine
Licensed in
CO, NE, WY
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2121 E Harmony Rd Unit 100
Fort Collins, CO 80528-3401
Phone: (970) 221-1000
Fax: (970) 297-6860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 38097 (CO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 38097 (CO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 21237 (NE)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 6279A (WY)

Record details

NPI number1053317198
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2005
Last updated in NPPESJune 12, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations22 on file with Medicare

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