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

Matthew Alan Johansen, MD

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1265757769

Matthew Alan Johansen, MD is an Orthopedic Surgery in Cincinnati, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2010, 16 years ago. Practices with Kentucky Rehabilitation Services, Inc, a 141-clinician group and accepts Medicare assignment. Licensed in Kentucky, Maryland, Ohio and Virginia.

Years since qualifying
16
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
KY, MD, OH, VA
In the registry since
2010
Specialties on file
5
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

6480 Harrison Ave
Cincinnati, OH 45247-7961
Phone: (513) 354-3700
Fax: (513) 354-7651
Show map & directions

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

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 35.129257 (OH)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence 0101258243 (VA)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence D79334 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence TP268 (KY)

Record details

NPI number1265757769
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2010
Last updated in NPPESJuly 14, 2016
Mailing address6480 Harrison Ave, Suite 201, Cincinnati, OH 45247-7961

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Kentucky Rehabilitation Services, Inc. — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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