Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kimberly Sue Johnson, MD

Individual provider Diagnostic Radiology Physician · NPI 1467682971

Dr. Kimberly Sue Johnson, MD is a Diagnostic Radiology in 49684 Traverse City, Mi (grand Traverse), Michigan. Graduated from Michigan State University College of Human Medicine in 2009, 17 years ago. Practices with Grand Traverse Radiologists PC, a 32-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1105 Sixth Street SUITE#100
49684 Traverse City, Mi (grand Traverse), MI 49684
Phone: (231) 935-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301094869 (MI)

Record details

NPI number1467682971
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 17, 2009
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2009 (17 years in practice)
Group practice Grand Traverse Radiologists Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount