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

Kristopher Johnson

Individual provider Surgery Physician · NPI 1376770040

Kristopher Johnson is a General Surgery in Phoenix, Arizona. Graduated from University of Arizona College of Medicine in 2009, 17 years ago. Practices with Shirah Surgical PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
17
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2009

Practice location Address checks out

925 E McDowell Rd 2nd Fl
Phoenix, AZ 85006-2502
Phone: (602) 239-2282
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence R71536 (AZ)

Record details

NPI number1376770040
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 19, 2009
Last updated in NPPESJune 19, 2009
Mailing address925 E McDowell Rd, 2nd Floor, Phoenix, AZ 85006-2502

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Shirah Surgical Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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