Rachel Elizabeth Johnson, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36.003564 Issued in OH

Practice address

21245 Lorain Rd
Suite 115
Fairview Park, OH 44126-2146

Phone

(440) 356-1989

Fax

(415) 356-5944

NPI assigned

Jun 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Bodman Podiatry Associates IncGroup PAC ID 9739211509, 2 clinicians

Ksu Foot and Ankle ClinicGroup PAC ID 1254588684, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachel.johnson.1@14723.direct.athenahealth.com
• Direct secure messaging: rjohnson243012@ehrdirect.uhhospitals.org

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.

• Dr Bodman Podiatry Associates Inc

  • Foot & Ankle Surgery Podiatrist
  • Fairview Park, OH
  • NPI 1215008735
  Medicare reassignment Care Compare group NPD
• Ksu Foot & Ankle Clinic

  • Podiatrist
  • Independence, OH
  • NPI 1265793111
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1437445640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21245 LORAIN RD",
            "address_2": "SUITE 115",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262146",
            "telephone_number": "440-356-1989",
            "fax_number": "415-356-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21245 LORAIN RD",
            "address_2": "SUITE 115",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262146",
            "telephone_number": "440-356-1989",
            "fax_number": "415-356-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-26",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074363",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.