Kimberly Sue Johnson, M.D.
Diagnostic Radiology Physician · 49684 Traverse City Mi Grand Traverse, MI
Kimberly Sue Johnson, M.D. is a diagnostic radiology physician with a practice address in 49684 Traverse City Mi Grand Traverse, Michigan, and NPI 1467682971, issued on Jul 17, 2009. Check the license (Michigan 4301094869, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Kimberly Sue Johnson
- Credential
- M.D.
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License number
- 4301094869 MI
Self-reported in NPPES; status is on the state search - Practice location
- 1105 Sixth Street, 49684 Traverse City Mi Grand Traverse, MI 49684
- Phone
- (231) 935-5000
- Enumerated
- Jul 17, 2009
- Record last updated
- May 16, 2022
- Medicare enrollment
- Enrolled (PECOS I20140528001305); accepts Medicare assignment
- Medical or professional school
- Michigan State University College Of Human Medicine, 2009
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 1,584 in Michigan → Look up another NPI →
Verify Kimberly Sue Johnson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 4301094869Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Grand Traverse Radiologists PCTraverse City, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kimberly Sue Johnson among 1,584 diagnostic radiology physician records in Michigan
Kimberly Sue Johnson, M.D. is one of 1,584 diagnostic radiology physician records with a practice address in Michigan. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 65% of them.
- NPI issued2009 · 65% of these records are older, 32% newer
- In a Medicare fileYes · 70% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2009 · median 2003 among the 1,007 with a school on file
- Record last updated2022 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Diagnostic Radiology Physician providers in Michigan
There are 1,584 diagnostic radiology physician records in Michigan.
All 1,584 in Michigan → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Frederick Brodeur, MDTraverse City, MI 496841710901236
- William Church, MDTraverse City, MI 496841437173960
- Deborah Crowe, MDTraverse City, MI 496841548274566
- Daniel Dall'Olmo, MDTraverse City, MI 496841215951710
- Steven Hodges, MDTraverse City, MI 496841528082047
- Ryan Holmes, MDTraverse City, MI 496841124042304
- Jesse Johnson, M.D.Traverse City, MI 496841033146212
- Todd Kennell, MDTraverse City, MI 496841659394005
Common questions
What is Kimberly Sue Johnson, M.D.'s NPI number?
Kimberly Sue Johnson, M.D.'s National Provider Identifier (NPI) is 1467682971, issued on Jul 17, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Kimberly Sue Johnson, M.D. located?
The NPPES record lists a practice address at 1105 Sixth Street, 49684 Traverse City Mi Grand Traverse, MI, 49684. Phone: (231) 935-5000. Providers update this record themselves, so call before visiting.
How can I verify Kimberly Sue Johnson, M.D.'s license?
NPPES lists Michigan license number 4301094869, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.