Marc Thomas Johannsen, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OS15809 Issued in FL

Practice address

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Phone

(757) 953-5000

NPI assigned

Jun 11, 2008

Last updated

Mar 28, 2023By the provider in NPPES

Sex

Male

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 4

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Diagnostic Radiology

Education

Philadelphia College of Osteopathic Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians

Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Inverness Medical Imaging LLCGroup PAC ID 3870590672, 83 clinicians

East Central Florida Outpatient Imaging LLCGroup PAC ID 9830175199, 44 clinicians

Ocala Health Imaging Services LLCGroup PAC ID 8224217179, 48 clinicians

Ohri LLCGroup PAC ID 4981912169, 130 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health Hospital, Orlando, FL, CCN 100006
• Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
• Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
• Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
• Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302

Merit-based Incentive Payment System (MIPS)

Final score

79.91 of 100Reported as group

Quality

61.18

Promoting interoperability

100

Improvement activities

40

Cost

71.86

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• East Central Florida Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Daytona Beach, FL
  • NPI 1245271675

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Inverness Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Inverness, FL
  • NPI 1093763591

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ocala Health Imaging Services LLC

  • Diagnostic Radiology Physician
  • Ocala, FL
  • NPI 1023318060

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ohri, LLC

  dba Orlando Health Imaging Centers

  • Diagnostic Radiology Physician
  • Altamonte Springs, FL
  • NPI 1386034346

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Radiology Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Daytona Beach, FL
  • NPI 1063400729

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Medical Imaging Center of Ocala LLP

  dba Medical Imaging Center at Windsor Oaks

  • Diagnostic Radiology Physician
  • Ocala, FL
  • NPI 1669469045

  Single Specialty

  Medicare reassignment NPD
• St Thomas Radiology Associates LLC

  • Diagnostic Radiology Physician
  • St Thomas, VI
  • NPI 1659385011

  FL, Single Specialty

  Medicare reassignment NPD
• Timberridge Imaging Center

  • Diagnostic Radiology Physician
  • Ocala, FL
  • NPI 1669460473

  Single Specialty

  Medicare reassignment NPD
• Ohi West Medical Group, LLC

  dba Bayfront Health St. Petersburg Imaging Center

  • Radiology Clinic/Center
  • St Petersburg, FL
  • NPI 1285240192

  Diagnostic Radiology

  NPD
• Ohri, LLC

  dba Orlando Health Imaging Centers

  • Radiology Clinic/Center
  • Clermont, FL
  • NPI 1083570261
  NPD
• Ohri, LLC

  dba Orlando Health Imaging Centers

  • Radiology Clinic/Center
  • Ocoee, FL
  • NPI 1407246085

  Single Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Flagler Hospital Inc

  • General Acute Care Hospital
  • St Augustine, FL
  • NPI 1144211020
  Care Compare affiliation
• Flagler Hospital, Inc.

  • Urgent Care Clinic/Center
  • St Augustine, FL
  • NPI 1447527965

  Hospital

  Care Compare affiliation
• Ohsrh, LLC

  dba Orlando Health Sebastian River Hospital

  • General Acute Care Hospital
  • Sebastian, FL
  • NPI 1578381307
  Care Compare affiliation
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  Care Compare affiliation
• Osceolasc LLC

  dba St Cloud Regional Medical Center

  • General Acute Care Hospital
  • Saint Cloud, FL
  • NPI 1164478442
  Care Compare affiliation
• South Lake Hospital, Inc.

  dba Orlando Health South Lake Hospital

  • General Acute Care Hospital
  • Clermont, FL
  • NPI 1336221019
  Care Compare affiliation

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1538329644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 VINELAND CIR",
            "address_2": "UNIT B",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033298",
            "telephone_number": "757-390-1319",
            "fax_number": "855-673-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 W Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "321-842-8475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANNSEN",
        "first_name": "MARC",
        "middle_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS15809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CEFLH",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHMG",
            "identifier": "PS103",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113776200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHRI",
            "identifier": "PB211",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamilah Jewell
• Shatara Jewell
• Jewels Heart Home Care, LLC
• JG&T Contracting LLC
• Zhengran Jiang, MD
• Cimone S John, NP
• Kari Louise Johndrow-Casey, CPNP-PC
• Samantha Johns
• Arthur T Johnson IV, M.D.
• Brian David Johnson, DO

• Diagnostic Radiology Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.