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

Dr. Michael W. Johansen, DO

Individual provider Pediatric Cardiology Physician · NPI 1578772158

Dr. Michael W. Johansen, DO is a Cardiovascular Disease (Cardiology) in Indianapolis, Indiana. Qualified in 2006, 20 years ago. Practices with University Pediatric Associates Inc, a 104-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
20
Licensed in
IN
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

705 Riley Hospital Dr Ri 1134
Indianapolis, IN 46202-5109
Phone: (317) 944-8906
Fax: (317) 944-9330
Show map & directions

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

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 02003367 (IN)

Record details

NPI number1578772158
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing addressPo Box 719094, Chicago, IL 60677-9318

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice University Pediatric Associates Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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