| Michael Johnson, MD | |
|
550 University Blvd, Uh 3005, Indianapolis, IN 46202-5149 | |
| (317) 944-2167 | |
| (317) 944-2305 |
| Full Name | Michael Johnson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 550 University Blvd, Indianapolis, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083720817 | NPI | - | NPPES |
| 100098980 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01034992 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Indiana University Health North Hospital | Carmel, IN | Hospital |
| Iu Health West Hospital | Avon, IN | Hospital |
| Ascension St Vincent Hospital | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Family Physicians, Inc. | 7911992797 | 429 |
| Entity Name | University Medical Diagnostic Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861441537 PECOS PAC ID: 3375446347 Enrollment ID: O20040202000510 |
| Entity Name | University Family Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Johnson, MD 250 N Shadeland Ave, Ste 130 Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () - | Michael Johnson, MD 550 University Blvd, Uh 3005, Indianapolis, IN 46202-5149 Ph: (317) 944-2167 |
Irene A Carrothers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Dr. Satish Kenchaiah, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 317-988-4989 | |
Gretchen Suarez, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 W Michigan St, Indianapolis, IN 46202 Phone: 317-278-0042 Fax: 317-278-0027 | |
Cristina Nancy Perez Chumbiauca, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Dr. Omair Ahmad Syed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Eskenazi Ave # F2-600, Indianapolis, IN 46202 Phone: 317-278-5570 |