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

Dr. Kent Michael Johnson, MD

Individual provider Internal Medicine Physician · NPI 1386699502

Dr. Kent Michael Johnson, MD is a Pediatric Medicine in Goodyear, Arizona. Graduated from Michigan State University College of Human Medicine in 1995, 31 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
31
Trained at
Michigan State University College of Human Medicine
Licensed in
AZ
In the registry since
2006
Specialties on file
2
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

14541 W Indian School Rd Ste 600
Goodyear, AZ 85395
Phone: (623) 535-5599
Fax: (623) 535-4696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 24416 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 24416 (AZ)

Record details

NPI number1386699502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESSeptember 20, 2011
Mailing address14541 W. Indian School Rd., Ste. 600, Goodyear, AZ 85395

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1995 (31 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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