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

Dr. Michael Thomas Johnson, MD

Individual provider Diagnostic Radiology Physician · NPI 1811308588

Dr. Michael Thomas Johnson, MD is a Diagnostic Radiology in Grand Rapids, Michigan. Graduated from Michigan State University College of Human Medicine in 2014, 12 years ago. Practices with Advanced Radiology Services PC, a 252-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Michigan.

Years since qualifying
12
Trained at
Michigan State University College of Human Medicine
Licensed in
MA, MI
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 363-7272
Fax: (616) 361-5828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301501433 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 269258 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811308588
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2014
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020
Mailing address3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746

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 2014 (12 years in practice)
Group practice Advanced Radiology Services Pc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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