Individual provider Active NPI

Patricia Lynn Johnson, MD

  • Pain Medicine Physician
  • Zionsville, IN
National Provider Identifier
1891736864
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
01044746A Issued in IN
Practice address
1275 Parkway Dr
Zionsville, IN 46077-1953
Phone
(317) 873-8900
Fax
(317) 873-2655
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 01044746A IN
Obstetrics & Gynecology Physician 207V00000X 01044746A IN
Pain Medicine Physician 208VP0000X 01044746A IN Primary

Addresses

Primary practice location

1275 Parkway Dr
Zionsville, IN 46077-1953

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-8231

Other practice location 2

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-0860

Other identifiers 4

IdentifierTypeStateIssuer
000000001367OtherMPLAN PROVIDER ID NUMBER
000001073792OtherINANTHEM PTAN
000000383685OtherANTHEM PROVIDER ID NUMBER
200167490MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address pjohnson2@direct.iuhealth.org
Direct Messaging Address pjohnson2@direct.iuhealth.org Direct
Direct Messaging Address pjohnson2@direct.iuhealth.org Direct

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
I20050208000247 IN Practitioner - Obstetrics/GynecologyPractitioner - Pain Management 0840241857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Pain Management
Education
Indiana University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

550 N University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-5000

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044746AINMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Apr 1, 2017 Accepting new patients
University Obstetricians-Gynecologists,Inc Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

7845 Solution Ctr
Chicago, IL 60677

5208 Reliable Pkwy
Chicago, IL 60686

11725 Illinois St
Ste 245
Carmel, IN 46032
Phone (317) 249-2703

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

6820 Parkdale Pl
Ste 212
Indianapolis, IN 46254
Phone (317) 329-7022

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

550 University Blvd
#2440
Indianapolis, IN 46202
Phone (317) 274-1661

1275 Parkway Dr
Zionsville, IN 46077
Phone (317) 873-8900

1650 W Oak St
Ste 210
Zionsville, IN 46077
Phone (317) 873-8855

Interoperability endpoints

  • Direct secure messaging: pjohnson2@direct.iuhealth.org

Organizations & group practices 5

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 1

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1891736864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 PARKWAY DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771953",
            "telephone_number": "317-873-8900",
            "fax_number": "317-873-2655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-944-8231",
            "fax_number": "317-948-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-944-0860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "01044746A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01044746A",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IN",
            "license": "01044746A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPLAN PROVIDER ID NUMBER",
            "identifier": "000000001367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "000001073792",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID NUMBER",
            "identifier": "000000383685",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200167490",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pjohnson2@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1275 Parkway Dr",
            "city": "Zionsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460771953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pjohnson2@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 University Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pjohnson2@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 University Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.