Individual provider

Michael Johnson, DPM

Podiatrist Medicare enrolled

Michael Johnson, DPM is a provider specialising in Podiatrist in Petaluma, CA, registered under NPI 1205847209. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 108 LYNCH CREEK WAY SUITE 3, Petaluma, CA 94954. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

108 LYNCH CREEK WAY SUITE 3, Petaluma, CA 94954 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
E3671 CA Podiatrist primary

This provider holds licence E3671 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Podiatry
PAC ID
4082707633
Enrollment ID
I20070912000590

Medicare enrolment is recorded as approved under the provider type Practitioner - Podiatry. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Podiatrist covers

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. NUCC Health Care Provider Taxonomy, code 213E00000X
Podiatric Medicine & Surgery Service Providers Podiatrist

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205847209 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 11, 2006
Last updatedNov 3, 2021
StatusActive
Sole proprietorYes
CredentialDPM
Practice address 108 LYNCH CREEK WAY
SUITE 3
Petaluma, CA 94954
(707) 763-2253
Fax (707) 763-7030
Other identifiers 480027344 · Other (CA)
000E36712 · Other (CA)
000E36712 · Medicaid (CA)
The last update on file is Nov 3, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1205847209 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 8 4 7 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 7 4 5 2 0

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205847209?
NPI 1205847209 is the National Provider Identifier assigned to Michael Johnson, DPM in Petaluma, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Podiatrist cover?
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and…
How do I contact Michael Johnson, DPM?
The phone number on file with NPPES is (707) 763-2253, last updated Nov 3, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Michael Johnson, DPM accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205847209 a valid number?
Yes. 1205847209 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.