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

Michael D. Johnson, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1043482797

Michael D. Johnson, MD is a General Surgery in Kettering, Ohio. Graduated from Columbia University College of Physicians and Surgeons in 2003, 23 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
23
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
OH
In the registry since
2008
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

3533 Southern Blvd Ste 5200
Kettering, OH 45429-1275
Phone: (937) 435-8663
Fax: (937) 435-8966
Show map & directions

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

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 35092049 (OH)

Record details

NPI number1043482797
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2008
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address3533 Southern Blvd Ste 5200, Kettering, OH 45429-1275

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2003 (23 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare