Individual provider Active NPI

Michelle D Johnson, M.D.

  • Obstetrics & Gynecology Physician
  • Prince Frederick, MD
National Provider Identifier
1497887178
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0051814 Issued in MD
Practice address
110 Hospital Rd Ste 310
Prince Frederick, MD 20678-4041
Phone
(410) 414-4740
Fax
(410) 414-4741
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0051814 MD Primary

Addresses

Primary practice location

110 Hospital Rd Ste 310
Prince Frederick, MD 20678-4041

Mailing address

110 Hospital Rd Ste 310
Prince Frederick, MD 20678-4041
Phone (410) 414-4740

Other identifiers 5

IdentifierTypeStateIssuer
3263171OtherAETNA US HEALTHCARE
548502-06OtherBLUE SHIELD OF MARYLAND
759211601MedicaidMD
6906-0005OtherBLUE SHIELD DC
352091OtherMAMSI UNITED HEALTH CARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.johnson.p1@direct.calverthealth.nextgenshare.com Health Information Exchange (HIE) CalvertHealth Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040923001180 MD Practitioner - Obstetrics/Gynecology 3577454016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calverthealth Medical Group, LLCGroup PAC ID 2163562695, 50 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 414-2736

110 Hospital Rd
Suite 203
Prince Frederick, MD 20678-4045
Phone (410) 414-4740

8924 Chesapeake Ave
North Beach, MD 20714-4050
Phone (410) 257-7279

Hospital & facility affiliations

  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
74.54
Promoting interoperability
99
Improvement activities
40
Cost
81.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Group, LLC CurrentSince Oct 11, 2018 Accepting new patients
Washington Hospital Center Corp Past Accepting new patients
Calvert Health Ventures Inc Past Accepting new patients

Locations

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

Interoperability endpoints

  • Direct secure messaging: michelle.johnson@directcalverthospital.org
  • Direct secure messaging: michelle.johnson.p1@direct.calverthealth.nextgenshare.com

Organizations & group practices 4

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 1

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1497887178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 310",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784041",
            "telephone_number": "410-414-4740",
            "fax_number": "410-414-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 310",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784041",
            "telephone_number": "410-414-4740",
            "fax_number": "410-414-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0051814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "3263171",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MARYLAND",
            "identifier": "548502-06",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "759211601",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD DC",
            "identifier": "6906-0005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI UNITED HEALTH CARE",
            "identifier": "352091",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.johnson.p1@direct.calverthealth.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging address to send CCDAs",
            "affiliationName": "CalvertHealth Medical Group, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDAs",
            "address_1": "110 Hospital Rd Ste 203",
            "city": "Prince Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206784045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.