Individual provider Active NPI

John Bisbee Johnson, MD

  • Internal Medicine Physician
  • Batesville, IN
National Provider Identifier
1790709103
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01049451A Issued in IN
Practice address
1051 State Road 229
Batesville, IN 47006-6809
Phone
(812) 934-5924
Fax
(812) 934-6436
NPI assigned
Jul 27, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01049451A IN Primary

Addresses

Primary practice location

1051 State Road 229
Batesville, IN 47006-6809

Mailing address

1051 State Road 229
Batesville, IN 47006-6809
Phone (812) 934-5924

Other identifiers 1

IdentifierTypeStateIssuer
20049240MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041016000185 IN Practitioner - Internal Medicine 5698735785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

374 Northside Dr D
Batesville, IN 47006-7052
Phone (812) 934-5924

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049451AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Batesville Medical Specialties LLC Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1051 State Road 229
Batesville, IN 47006
Phone (812) 933-5110

374 Northside Dr
Ste D
Batesville, IN 47006
Phone (812) 932-5105

Interoperability endpoints

  • Direct secure messaging: batesvillemedicalspecialists.johnjohnson@152609.advancedmd-direct.com
  • Direct secure messaging: johnjohnson@bmspec.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Andrews Health CampusBatesville, IN, CCN 155742 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 15, 2025
Apr 15, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1790709103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 STATE ROAD 229",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470066809",
            "telephone_number": "812-934-5924",
            "fax_number": "812-934-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 STATE ROAD 229",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470066809",
            "telephone_number": "812-934-5924",
            "fax_number": "812-934-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHN",
        "middle_name": "BISBEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01049451A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20049240",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, IN

Sources for this page

Verify at the official NPI Registry.