NPIMap

Individual provider Active NPI

Annie K Johnson, M.D.

  • Family Medicine Physician
  • Hamilton, OH
National Provider Identifier
1356787550
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.149009 Issued in OH
Practice address
9582 Princeton Glendale Rd
Hamilton, OH 45011-9709
Phone
(513) 346-5640
Fax
(513) 346-5644
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D81856 MD
Family Medicine Physician 207Q00000X 35.149009 OH Primary

Addresses

Primary practice location

9582 Princeton Glendale Rd
Hamilton, OH 45011-9709

Mailing address

9582 Princeton Glendale Rd
Hamilton, OH 45011-9709
Phone (513) 346-5640

Other practice location 1

1419 Forest Dr. Ste 100
Annapolis, MD 21403
Phone (410) 990-0050

Other names 1

  • Annie K Bahling Former name

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
I20231128001977 OH Practitioner - Family Practice 3072813963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

9582 Princeton Glendale Rd
Hamilton, OH 45011-9709
Phone (513) 346-5640

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D81856MDMDFamily Medicine Physician
35.149009OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Dec 17, 2023 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Dec 17, 2023 Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

9582 Princeton Glendale Rd
West Chester, OH 45011
Phone (513) 346-5640

Interoperability endpoints

  • Direct secure messaging: ajohnson2484033@direct.bsmhealth.org

Organizations & group practices 2

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 4

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1356787550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9582 PRINCETON GLENDALE RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450119709",
            "telephone_number": "513-346-5640",
            "fax_number": "513-346-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9582 PRINCETON GLENDALE RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450119709",
            "telephone_number": "513-346-5640",
            "fax_number": "513-346-5644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 Forest Dr. Ste 100",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "21403",
            "country_code": "US",
            "telephone_number": "410-990-0050",
            "fax_number": "410-990-0336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANNIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D81856",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.149009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "BAHLING",
            "middle_name": "K",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.