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

Stefan Johnson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063875177

Stefan Johnson, MD is a Diagnostic Radiology in Cleveland, Ohio. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2016, 10 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York and Ohio.

Years since qualifying
10
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
NY, OH
In the registry since
2016
Specialties on file
3
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Cleveland, OH

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 2301 Holmes St, Kansas City, MO 64108-2640 — (816) 404-1000
  • 1425 Portland Ave, Rochester, NY 14621 — (585) 922-0881

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 35.141453 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 310010-01 (NY)

Record details

NPI number1063875177
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2016
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2016 (10 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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