Individual provider Active NPI

Johnathan Kim Ho, M.D

  • Physical Medicine & Rehabilitation Physician
  • Dearborn, MI
National Provider Identifier
1710274386
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301098877 Issued in MI
Practice address
18181 Oakwood Blvd
Suite 411
Dearborn, MI 48124-4082
Phone
(313) 438-7373
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301098877 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd
Suite 411
Dearborn, MI 48124-4082

Mailing address

1560 E Maple Rd
Suite 400 - Credentialing Department
Troy, MI 48083-1138
Phone (313) 438-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150721001964 MI Practitioner - Physical Medicine and Rehabilitation 0648583518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Michigan State University College of Human Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5360

18101 Oakwood Blvd
Dearborn, MI 48124-4089

18181 Oakwood Blvd
Dearborn, MI 48124-4082

28100 Grand River Ave
Farmington Hills, MI 48336-5970

33101 Annapolis St
Suite 100
Wayne, MI 48184-2405
Phone (734) 467-2670

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098877MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Aug 1, 2015 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Jun 30, 2018 Accepting new patients
Oakwood Ambulatory LLC Physical Medicine & Rehabilitation CurrentSince Jun 30, 2018 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Aug 28, 2018 Accepting new patients
University Physician Group CurrentSince Aug 1, 2015 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

2050 N Haggerty Rd
Ste 200
Canton, MI 48187
Phone (313) 438-7880

18181 Oakwood Blvd
Ste 411
Dearborn, MI 48124
Phone (313) 438-7373

17000 Hubbard Dr
Ste 800
Dearborn, MI 48126
Phone (313) 240-7595

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

10000 Telegraph Rd
Ste 100
Taylor, MI 48180
Phone (313) 887-6000

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

1560 E Maple Rd
Ste 400
Troy, MI 48083

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437177600000",
    "number": "1710274386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400 - CREDENTIALING DEPARTMENT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "313-438-7373",
            "fax_number": "313-438-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "address_2": "SUITE 411",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244082",
            "telephone_number": "313-438-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "JOHNATHAN",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2015-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301098877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.