Individual provider Active NPI

Robert Ryan Johnson, DO

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1790796654
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03576 Issued in KY
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

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000768 KY Practitioner - Family Practice 4284633231 Reassigns benefits to 1 organization

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

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 Home health agency, Louisville, KY, CCN 187000
  • Centerwell Home Health Home health agency, Louisville, KY, CCN 187090
  • Amedisys SP-Ky, LLC Dba Adoration Home Health Home health agency, Louisville, KY, CCN 187171
  • Centerwell Home Health Home health agency, Elizabethtown, KY, CCN 187085
  • Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care Home health agency, Louisville, KY, CCN 187091
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012923INMDFamily Medicine Physician
03576KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 27, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 44

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

View all 44

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

Verify at the official NPI Registry.