DR. KEINO J JOHNSON D.O.
NPI 1871732818
Family Medicine in Bala Cynwyd, PA

Active since February 16, 2009PECOS EnrolledAccepts Medicare Assignment
225 E CITY AVE STE 109, BALA CYNWYD, PA 19004(215) 503-3838 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2019, Jun 19, 2019 (2 updates tracked since 2019).

About Dr. Keino J Johnson D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEINO J JOHNSON D.O. (NPI 1871732818) is an individual family medicine provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (OS014159) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871732818
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEINO J JOHNSONCredential: D.O.
Location Address225 E CITY AVE STE 109Bala Cynwyd, PA 19004-1724
Mailing Address225 E City Ave Ste 109Bala Cynwyd, PA 19004-1724 · (215) 503-3838 · Fax (610) 664-2945
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2006
Enumeration DateFebruary 16, 2009
Last NPPES UpdateJuly 19, 20192 updates tracked since enumeration
NPI 1871732818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS014159
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
225 E CITY AVE STE 109, Bala Cynwyd, PA 19004

Secondary Practice Locations 2

Location 12424 E York St, Ste.117Philadelphia, PA 19125-3026 · Phone (215) 203-8012 · Fax (215) 203-8109
Location 2833 Chestnut St Ste 701Philadelphia, PA 19107-4409 · Phone (215) 955-6180

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Keino J Johnson D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395916076
PECOS Enrollment IDI20110929000547
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
84 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$14.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
225 E CITY AVE STE 109
BALA CYNWYD, PA 19004
Internal Medicine
225 E CITY AVE STE 109
BALA CYNWYD, PA 19004
Internal Medicine (Gastroenterology)
225 E CITY AVE STE 109
BALA CYNWYD, PA 19004
Nurse Practitioner
225 E CITY AVE STE 109
BALA CYNWYD, PA 19004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keino Johnson's NPI number?

The NPI number for Keino Johnson is 1871732818. It was assigned to this individual provider in the NPPES registry on February 16, 2009.

Where is Keino Johnson located?

Keino Johnson practices at 225 E City Ave Ste 109, Bala Cynwyd, PA 19004. The listed phone number is (215) 503-3838.

What is Keino Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keino Johnson enrolled in Medicare?

Yes. Keino Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Keino Johnson affiliated with any hospitals?

According to CMS data, Keino Johnson is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Keino Johnson was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.