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JOHNSON J THOTTAM M.D.
NPI 1922077619
Specialist in Canton, OH

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
4800 HIGBEE AVE NW, CANTON, OH 44718(330) 492-8521(330) 492-1967 Get Directions Write a Review

NPPES record last updated: July 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johnson J Thottam M.d. NPPES

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

JOHNSON J THOTTAM M.D. (NPI 1922077619) is an individual specialist in Canton, Ohio, licensed in Ohio (37564) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1922077619
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJOHNSON J THOTTAMCredential: M.D.
Location Address4800 HIGBEE AVE NWCanton, OH 44718-2528
Mailing Address4800 Higbee Ave NwCanton, OH 44718-2528 · (330) 492-8521 · Fax (330) 492-1967
Phone(330) 492-8521
Fax(330) 492-1967
Sole ProprietorNo
Medical School CMSOtherGraduated 1969
Enumeration DateMarch 15, 2006
Last NPPES UpdateJuly 30, 2010
✔ NPI 1922077619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 37564
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4800 HIGBEE AVE NW, Canton, OH 44718
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Other Identifiers 3

Medicare ID-Type Unspecified0447732OH
Medicaid0366303OH
Medicare UPINA77560OH

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

Johnson J Thottam M.d. 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 ID5193984508
PECOS Enrollment IDI20120305000202
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.

Hospital Affiliations CMS Care Compare

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

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

JOHNSON J THOTTAM MD INC.
Clinic/Center (Medical Specialty)
4800 HIGBEE AVE NW
CANTON, OH 44718
Stark County (330) 492-8521

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 Johnson Thottam's NPI number?

The NPI number for Johnson Thottam is 1922077619. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Johnson Thottam located?

Johnson Thottam practices at 4800 Higbee Ave NW, Canton, OH 44718. The listed phone number is (330) 492-8521.

What is Johnson Thottam's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Johnson Thottam enrolled in Medicare?

Yes. Johnson Thottam 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 Johnson Thottam affiliated with any hospitals?

According to CMS data, Johnson Thottam is affiliated with Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Johnson Thottam was last updated on July 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.