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

Dr. Kyle J Johnson, DO

Individual provider Internal Medicine Physician · NPI 1972846293

Dr. Kyle J Johnson, DO is an Internal Medicine in East Providence, Rhode Island. Qualified in 2013, 13 years ago. Practices with Coastal Medical Physicians Inc, a 219-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
13
Licensed in
RI
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

900 Warren Ave Ste 401
East Providence, RI 02914-1430
Phone: (401) 330-2480
Fax: (401) 808-6329
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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 DO01222 (RI)

Record details

NPI number1972846293
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2013
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024
Mailing address900 Warren Ave Ste 401, East Providence, RI 02914-1430

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Coastal Medical Physicians Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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