Dwayne Edward Johnson, M.D.
Pediatrics Physician · Elkhart, IN
Dwayne Edward Johnson, M.D. is a pediatrics physician with a practice address in Elkhart, Indiana, and NPI 1841379187, issued on Nov 6, 2006. Check the license (Indiana 01073977A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Dwayne Edward Johnson
- Credential
- M.D.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License numbers
- 01073977A IN
28666 KY
Self-reported in NPPES; status is on the state search - Practice location
- 236 Simpson Ave, Elkhart, IN 46516
- Phone
- (574) 584-7373
- Enumerated
- Nov 6, 2006
- Record last updated
- Nov 3, 2023
- Fax
- (574) 293-3744
- Medicaid IDs
- 642886669 KY
200287610B IN - Medicare enrollment
- Enrolled (PECOS I20251020001719); may accept Medicare assignment
- Medical or professional school
- University Of Kentucky College Of Medicine, 1983
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 1,136 in Indiana → Look up another NPI →
Also registered at 236 Simpson Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ashraf Assous, MDPediatrics Physician1811661937
- Kenneth Bethel, RN, FNPFamily Nurse Practitioner1194093807
- Dawn BoughtonClinical Social Worker1578935235
- Alexis Bowman, MDPediatrics Physician1366174252
- Caroline Carney, M.D.Psychiatry Physician1912955634
- Willard Cupp, PMHNPPsychiatric/Mental Health Nurse Practitioner1265021406
Verify Dwayne Edward Johnson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01073977ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $139.57
7 payments; by number, the most common kind was food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Dwayne Edward Johnson among 1,136 pediatrics physician records in Indiana
Dwayne Edward Johnson, M.D. is one of 1,136 pediatrics physician records with a practice address in Indiana. 43% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 52% newer
- In a Medicare fileYes · 43% of these records are
- In the CMS Doctors and Clinicians fileYes · 12% of these records are
- Graduated1983 · median 2011 among the 140 with a school on file
- Record last updated2023 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
18 pediatrics physician records list a practice address in Elkhart
They are 18 of the 1,526 NPPES records with a practice address in Elkhart, and 1,136 pediatrics physician records in Indiana.
All 1,136 in Indiana → Every provider in Elkhart → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Ashraf Assous, MDElkhart, IN 465161811661937
- Alexis Bowman, MDElkhart, IN 465161366174252
- Christine Dankwa, M.D., M.P.HElkhart, IN 465161548412000
- Erin Farrell, MDElkhart, IN 465161902998073
- Mabel Blunk, M.D.Elkhart, IN 465141821089723
- Su Choo Chang, MDElkhart, IN 465141538367321
- Jared Dhaemers, MDElkhart, IN 465141770533424
- Jordan Hunsberger, DOElkhart, IN 465141124715818
Common questions
What is Dwayne Edward Johnson, M.D.'s NPI number?
Dwayne Edward Johnson, M.D.'s National Provider Identifier (NPI) is 1841379187, issued on Nov 6, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Dwayne Edward Johnson, M.D. located?
The NPPES record lists a practice address at 236 Simpson Ave, Elkhart, IN, 46516. Phone: (574) 584-7373. Providers update this record themselves, so call before visiting.
How can I verify Dwayne Edward Johnson, M.D.'s license?
NPPES lists Indiana license number 01073977A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.