NPIMap

Individual provider Active NPI

Jeremy Todd Johnson, D.O.

  • Internal Medicine Physician
  • Richmond Heights, OH
National Provider Identifier
1528386729
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.012569 Issued in OH
Practice address
27100 Chardon Rd
Richmond Heights, OH 44143-1116
Phone
(440) 585-7006
Fax
(440) 585-6269
NPI assigned
May 12, 2010
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 34.012569 OH Primary

Addresses

Primary practice location

27100 Chardon Rd
Richmond Heights, OH 44143-1116

Mailing address

3115 Berkshire Rd
Cleveland Heights, OH 44118-2423
Phone (269) 217-2244

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeremyjohnson@uhps.allscriptsdirect.net

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
I20170126002483 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6709015951 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

27100 Chardon Rd
Richmond Heights, OH 44143-1116
Phone (216) 383-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.012569OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Dec 12, 2016 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Jan 18, 2017 Accepting new patients
The Metrohealth System Current Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 1, 2020 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: jjohnson26370@direct.metrohealth.org
  • Direct secure messaging: jjohnson37414@ehrdirect.uhhospitals.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1528386729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 BERKSHIRE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182423",
            "telephone_number": "269-217-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 CHARDON RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431116",
            "telephone_number": "440-585-7006",
            "fax_number": "440-585-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEREMY",
        "middle_name": "TODD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.012569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremyjohnson@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "27100 Chardon Rd",
            "city": "Richmond Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441431116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

Verify at the official NPI Registry.