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Dr. Dwayne Edward Johnson , MD

Pediatrics • Elkhart, IN

Active NPI 1841379187 Individual Practitioner Male Practitioner
Practice location in NPPES

236 Simpson Ave
Elkhart, IN 465164666

Call 5745847373 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

236 Simpson Ave

Elkhart, IN 465164666

Telephone 5745847373
Fax 5742933744
Organization at the Same NPPES Address or Phone
Heart City Health Center Pharmacy Facility NPI 1003802455

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1983

Open Payments general payments, program year 2025

All general payments: $93.36 across 5 records.

By nature of payment

  • Food and Beverage: $93.36 across 5 records.

Reporting-company totals (3 largest of 4)

  • Merck Sharp & Dohme LLC: $31.16 across 2 records.
  • Gilead Sciences, Inc.: $24.33 across 1 record.
  • GlaxoSmithKline, LLC.: $20.93 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

43 years (graduated 1983)

CMS Doctors and Clinicians data list 1983 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Elkhart and Indiana

18 active clinicians are listed under Pediatrics with a practice address in Elkhart, IN (1,136 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Elkhart

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $93.36.

Manufacturer Payment Nature Product Type Amount ($)
Gilead Sciences, Inc.
Food and Beverage
In-kind items and services
— General $24.33
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $20.93
Dexcom, Inc.
Food and Beverage
In-kind items and services
Dexcom G6 Transmitter General $16.94
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
VAXELIS General $16.41
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
PROQUAD General $14.75

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IN 01073977A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES KY 28666

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
200287610B (IN)
Medicaid ID
642886669 (KY)
Other Identifier Pponext
611336483
Other Identifier United Healthcare
611336483
Other Identifier Passport Advantage
2435769000
Other Identifier Humana Health Plan, Inc.
611336483
Other Identifier Passport Health Plan
1087687
Other Identifier Preferred Health Plan
611336483
Other Identifier Anthem
000000052119
Other Identifier Aetna
2133380

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20251020001719

Enrollment State Jurisdiction

IN

PECOS Control ID

5890283121

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Andrea Miller , APN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1508304304

Advanced Practice Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
âś…
NPI Profile Active March 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2017

Registered at 236 SIMPSON AVE, ELKHART, IN 465164666 (Tel: 5745847373)

📍
Updated Business Mailing Address March 08, 2017

Registered at 148 W HIVELY AVE, SUITE 1, ELKHART, IN 465172191 (Tel: 5743502500)

👤
Provider Name / Credentials Updated March 08, 2017

Recorded as DWAYNE JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2017

Pediatrics (license number reported to NPPES: IN 01073977A)

âś…
NPI Profile Active February 13, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) February 13, 2013

Registered at 2211 MEADOW DR, SUITE A, LOUISVILLE, KY 402181330 (Tel: 5024582577)

📍
Business Mailing Address (Initial Record) February 13, 2013

Registered at 2211 MEADOW DR, SUITE A, LOUISVILLE, KY 402181330 (Tel: 5024582577)

👤
Provider Name / Credentials (Initial Record) February 13, 2013

Recorded as DWAYNE JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2013

Pediatrics (license number reported to NPPES: KY 28666)

🟢
Initial NPI Registration & Enumeration November 06, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1841379187
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: November 03, 2023
Sole Proprietor: Yes

Mailing Address

148 W Hively Ave, Suite 1

Elkhart, IN 465172191

Phone: 5743502500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.