| Todd M Johnson, MD | |
|
13000 E 136th St, Fishers, IN 46037-9478 | |
| (317) 678-1700 | |
| Not Available |
| Full Name | Todd M Johnson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 13000 E 136th St, Fishers, 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 |
|---|---|---|---|
| 1275518979 | NPI | - | NPPES |
| 959090188 | Other | IN | MEDICARE PTAN |
| 300015669 | Medicaid | IN | |
| Q00523653 | Other | IN | RAILROAD PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01055574A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cameron Memorial Community Hospital Inc | Angola, IN | Hospital |
| Indiana University Health Jay, Inc. | Portland, IN | Hospital |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
| Iu Health West Hospital | Avon, IN | Hospital |
| Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Fort Wayne Physicians, Llc | 5193138527 | 64 |
| Indiana University Radiology Associates Inc | 7315922267 | 219 |
| Entity Name | Indiana University Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336192665 PECOS PAC ID: 7315922267 Enrollment ID: O20040623001054 |
| Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd M Johnson, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Todd M Johnson, MD 13000 E 136th St, Fishers, IN 46037-9478 Ph: (317) 678-1700 |
Brandon Keith Martinez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14300 E 138th, Fishers, IN 46037 Phone: 877-362-2778 | |
Marianna Zagurovskaya, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 13000 E 136th St, Fishers, IN 46037 Phone: 317-948-9174 |