Active NPI
Robert Ryan Johnson, DO
- Family Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03576
- Practice address
- 9070 Dixie Hwy
Suite 6
Louisville, KY 40258-1007 - Phone
- (502) 271-3236
- Fax
- (502) 271-3356
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11012923 | IN | |
| Family Medicine Physician | 207Q00000X | 03576 | KY | Primary |
Addresses
Primary practice location
9070 Dixie Hwy
Suite 6
Louisville, KY 40258-1007
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Phone (502) 489-5730
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rjohnson7412@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3900 Kresge Way
Louisville, KY 40207-4681
9070 Dixie Hwy 6
Louisville, KY 40258-1007
Phone (502) 271-3236
Hospital & facility affiliations
- Vna Health at Home
- Centerwell Home Health
- Amedisys SP-Ky, LLC Dba Adoration Home Health
- Centerwell Home Health
- Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care
- Baptist Health Louisville
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Baptist Health Hardin
- Norton Hospitals, Inc
- Baptist Health Lagrange
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11012923 | IN | MD | Family Medicine Physician |
| 03576 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Past | Accepting new patients |
Locations
3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
5200 Commerce Crossings Dr
Fl 3RF
Louisville, KY 40229
2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689
2600 Stanley Gault Pkwy
Ste 201
Louisville, KY 40223
Phone (502) 253-1025
9070 Dixie Hwy
Ste 6
Louisville, KY 40258
Phone (502) 271-3236
Interoperability endpoints
- rjohnson7412@bhkydirect.com
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
Hospital & facility affiliations 44
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Louisville, KY
- NPI 1558394254
-
- Home Health Agency
- Louisville, KY
- NPI 1104875749
-
- Home Health Agency
- Paducah, KY
- NPI 1780498030
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
- Home Health Agency
- Elizabethtown, KY
- NPI 1598748600
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1790796654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950248",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950248",
"telephone_number": "502-489-5730",
"fax_number": "502-489-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9070 DIXIE HWY",
"address_2": "SUITE 6",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402581007",
"telephone_number": "502-271-3236",
"fax_number": "502-271-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "RYAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11012923",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "03576",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rjohnson7412@bhkydirect.com",
"affiliation": "N",
"address_1": "9070 Dixie Hwy",
"address_2": "Suite 6",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402581007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.