Individual provider Active NPI

William Kehoe Johnson, MD

  • Diagnostic Radiology Physician
  • Chapel Hill, NC
National Provider Identifier
1154173896
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2025-03433 Issued in NC
Practice address
101 Manning Dr CB#7510 2000 Old Clinic Suite W2107
Chapel Hill, NC 27599-7510
Phone
(919) 445-6985
Fax
(919) 962-9625
NPI assigned
Apr 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2025-03433 NC Primary

Addresses

Primary practice location

101 Manning Dr CB#7510 2000 Old Clinic Suite W2107
Chapel Hill, NC 27599-7510

Mailing address

101 Manning Dr CB#7510 2000 Old Clinic Suite W2107
Chapel Hill, NC 27599-7510
Phone (919) 445-6985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250717004499 NC Order and Referring Only - Diagnostic RadiologyPractitioner - Diagnostic Radiology 0749796704

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-03433NCMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1154173896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DR CB#7510 2000 OLD CLINIC SUITE W2107",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997510",
            "telephone_number": "919-445-6985",
            "fax_number": "919-962-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR CB#7510 2000 OLD CLINIC SUITE W2107",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997510",
            "telephone_number": "919-445-6985",
            "fax_number": "919-962-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "KEHOE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-04",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2025-03433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.