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Dr. Robert Keyirce Johnson, md

Pediatrics in San Antonio, TX. Individual provider (NPI-1).

NPI number1790729374
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1790729374
Entity type
Individual (NPI-1)
Name
Dr. Robert Keyirce Johnson
Credential
md
Sex
Male
Sole proprietor
No
Enumeration date
Jun 15, 2006
Last updated
Jul 13, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatricsf1687TXYes

Practice location

401 W Summit Ave
San Antonio, TX 78212-2815

Phone 210-736-3126 · Fax 210-733-1953

Mailing address

401 W Summit Ave
San Antonio, TX 78212-2815

Phone 210-736-3126 · Fax 210-733-1953

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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