Individual provider Active NPI

Katherine Keegan Johnson, M.D.

  • Family Medicine Physician
  • Montgomery, OH
National Provider Identifier
1144648874
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.128428 Issued in OH
Practice address
11140 Montgomery Rd Ste 2500
Montgomery, OH 45249-2309
Phone
(513) 561-7809
Fax
(513) 272-4121
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.128428 OH Primary

Addresses

Primary practice location

11140 Montgomery Rd Ste 2500
Montgomery, OH 45249-2309

Mailing address

11140 Montgomery Road
Suite 340
Cincinnati, OH 45219-2906
Phone (513) 561-7809

Other practice location 1

2123 Auburn Ave, Suite 235
TCH Family Medicine
Cincinnati, OH 45219
Phone (513) 585-3238

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kjohnson51387@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816002779 OH Practitioner - Family Practice 4284906868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

11140 Montgomery Rd
Cincinnati, OH 45249-2309
Phone (513) 561-7809

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Aug 2, 2017 Accepting new patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
Christ Hospital Medical Specialists LLC Past Accepting new patients

Locations

237 Wm Howard Taft Rd
Cincinnati, OH 45219
Phone (513) 351-9900

2123 Auburn Ave
Ste 235
Cincinnati, OH 45219
Phone (513) 585-3238

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

11140 Montgomery Rd
Montgomery, OH 45249
Phone (513) 564-8580

11140 Montgomery Rd
Ste 2500
Montgomery, OH 45249
Phone (513) 561-7809

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1144648874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 MONTGOMERY ROAD",
            "address_2": "SUITE 340",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-561-7809",
            "fax_number": "513-272-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 MONTGOMERY RD STE 2500",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452492309",
            "telephone_number": "513-561-7809",
            "fax_number": "513-272-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 Auburn Ave, Suite 235",
            "address_2": "TCH Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45219",
            "country_code": "US",
            "telephone_number": "513-585-3238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERINE",
        "middle_name": "KEEGAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.128428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjohnson51387@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11140 Montgomery Rd Ste 2500",
            "city": "Montgomery",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452492309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.