Active NPI
Wallace R Johnson, M.D.
- Hypertension Specialist Physician
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hypertension Specialist Physician
- License
- D38086
- Practice address
- 9175 Guilford Rd Ste 140
Columbia, MD 21046-1849 - Phone
- (410) 512-9202
- Fax
- (949) 991-1377
- NPI assigned
- Jun 13, 2006
- Last updated
- Oct 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hypertension Specialist Physician | 207RH0005X | D38086 | MD | Primary |
Addresses
Primary practice location
9175 Guilford Rd Ste 140
Columbia, MD 21046-1849
Mailing address
9175 Guilford Rd Ste 300
Columbia, MD 21046-2565
Phone (410) 512-9122
Other practice location 1
9175 Guilford Rd Ste 300
Columbia, MD 21046-2565
Phone (410) 512-9122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Maryland School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Physicians PA | Internal Medicine | Current | Accepting new patients |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University Care LLC | Internal Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| University Care | Past | Accepting new patients | |
| Call Doctor Packer Telemedicine, LLC | Internal Medicine | Past | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
419 W Redwood St
Ste 600
Baltimore, MD 21201
Phone (410) 328-5793
118 Westminster Pike
Ste 106
Reisterstown, MD 21136
Phone (410) 876-0086
Interoperability endpoints
- wjohnson6210@direct.umm.edu
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University of Maryland Medical Group - Cardiology
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1689623175
-
dba University of Maryland Medical Group
- Gastroenterology Physician
- Largo, MD
- NPI 1619860194
-
dba University of Maryland Medical Group - Geographic Medicine
- Infectious Disease Physician
- Baltimore, MD
- NPI 1720038540
-
dba University of Maryland Medical Group - Infectious Disease
- Infectious Disease Physician
- Baltimore, MD
- NPI 1134179955
Internal Medicine
-
- Internal Medicine Physician
- Columbia, MD
- NPI 1689522583
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Health Service Psychologist
- Baltimore, MD
- NPI 1629210166
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Medical Center Midtown Campus
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1043253867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9175 GUILFORD RD STE 300",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462565",
"telephone_number": "410-512-9122",
"fax_number": "949-991-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9175 GUILFORD RD STE 140",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461849",
"telephone_number": "410-512-9202",
"fax_number": "949-991-1377"
}
],
"practiceLocations": [
{
"address_1": "9175 Guilford Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210462565",
"country_code": "US",
"telephone_number": "410-512-9122",
"fax_number": "949-991-1359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "WALLACE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0005X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hypertension Specialist",
"state": "MD",
"license": "D38086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.