NPIMap

Individual provider Active NPI

John A Johansen, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Gahanna, OH
National Provider Identifier
1205087277
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
35.095784 Issued in OH
Practice address
605 Crescent PL
Gahanna, OH 43230-3086
Phone
(614) 545-7900
Fax
(614) 545-7901
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35.095784 OH
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 35.095784 OH Primary

Addresses

Primary practice location

605 Crescent PL
Gahanna, OH 43230-3086

Mailing address

340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 545-7900

Other identifiers 1

IdentifierTypeStateIssuer
3141675MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjohansen1266950@direct.trinity-health.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100901000100 OH Practitioner - Orthopedic Surgery 5193870392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Cincinnati College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic One, Inc.Group PAC ID 3072598283, 282 clinicians

Practice addresses (Care Compare)

1045 Beecher Crossing N
Gahanna, OH 43230-4573

7901 Diley Rd
Suite 205
Canal Winchester, OH 43110-9612
Phone (614) 545-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
89.85
Promoting interoperability
100
Improvement activities
40
Cost
78.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement24
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.095784OHMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic One, Inc Orthopaedic Surgery CurrentSince Aug 16, 2010 Accepting new patients
Orange ASC, LTD Current Accepting new patients
Mount Carmel Health System Orthopaedic Surgery CurrentSince Apr 23, 2024 Accepting new patients
Mount Carmel Health System CurrentSince Apr 23, 2024 Accepting new patients
Orthopedic One, Inc. Orthopaedic Surgery CurrentSince Aug 16, 2010 Accepting new patients

Locations

7901 Diley Rd
Ste 205
Canal Winchester, OH 43110
Phone (614) 464-0788

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

170 Taylor Station Rd
Columbus, OH 43213
Phone (614) 545-7910

605 Crescent Pl
Gahanna, OH 43230

4604 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 839-2300

340 Polaris Pkwy
Westerville, OH 43082
Phone (614) 839-2300

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

Interoperability endpoints

  • Direct secure messaging: jjohansen@orthopedicone.medentdirect.com

Organizations & group practices 6

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 7

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1205087277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 CRESCENT PL",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303086",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.095784",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OH",
            "license": "35.095784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3141675",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjohansen1266950@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mt Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "170 Taylor Station Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432134441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.