Jeremiah L Johns, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301083940 Issued in MI

Practice address

109 Michigan St NW Ste 200
Grand Rapids, MI 49503-2302

Phone

(616) 330-2522

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Emergency Medicine

Education

Indiana University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bamf Health I PCGroup PAC ID 7911394556, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.48 of 100Reported as group

Quality

89.26

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremiah.johns.1@27453.direct.athenahealth.com

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.

• Bamf Health I PC

  • Radiation Oncology Physician
  • Grand Rapids, MI
  • NPI 1659012037

  Emergency Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Bamf Health Inc

  • Radiology Clinic/Center
  • Grand Rapids, MI
  • NPI 1477289338
  NPD Authorized official
• Hastings Emergency Physicians PLC

  • Emergency Medicine Physician
  • Hastings, MI
  • NPI 1699709360
  NPD (past)
• Professional Treatment Solutions PC

  • Emergency Medicine Physician
  • Grand Rapids, MI
  • NPI 1316584915

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1184786824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MICHIGAN ST NW STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032302",
            "telephone_number": "616-330-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MICHIGAN ST NW STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032302",
            "telephone_number": "616-330-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Michigan St NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032560",
            "country_code": "US",
            "telephone_number": "616-391-1680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "JEREMIAH",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301083940",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301083940",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301083940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00406843",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R Vydareny MD PC
• Lillian John, OTR/L
• Raheel John, D.O
• Danielle Johne
• Dylan Johns
• Katlyn Johns
• Kelsey Johnson-Davis
• Aaron Paul Johnson, LMSW
• Adam Johnson
• Ainslie M Johnson, MS

• Emergency Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.

Verify at the official NPI Registry.