Active NPIIndividual providerSole proprietor

Michelle R Johnson, MD

Internal Medicine, Geriatric Medicine in Cambridge, Massachusetts

NPI Number1114285905
Practice location
119 Windsor St, Cambridge, MA 02139-3647
Fax
—
Last updated
December 19, 2025

Michelle Rullan Johnson is an Internal Medicine, Geriatric Medicine based in Cambridge, MA. Michelle Rullan Johnson practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for Michelle Rullan Johnson is 1114285905 and holds a License No. 265139 (MA). The current practice location address for Michelle Rullan Johnson is 119 Windsor St, Cambridge, MA 02139-3647 and can be reached out via phone at 617-665-3600.

Provider Profile Details

NPI Number
1114285905
Provider Name
Michelle Rullan Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
119 Windsor St, Cambridge, MA 02139-3647
Phone Number
617-665-3600
Primary Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X
Sole Proprietor
Yes
Provider Enumeration Date
April 30, 2012
Last Update Date
December 19, 2025
Certification Date
December 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
119 Windsor St
Cambridge, MA 02139-3647
Zip
02139-3647
Phone Number
617-665-3600
Cambridge, MA 02139Get directions →

Provider Business Mailing Address Details

Address
10 Beacon St
Somerville, MA 02143-4311
City
Somerville
State
MA
Zip
02143-4311
Phone Number
617-394-7703

License Information

License Number (1)
265139
License State (1)
MA
Taxonomy (1)
Skilled Nursing Facility · 314000000X
License Number (2)
265139
License State (2)
MA
Taxonomy (2)
Internal Medicine, Geriatric Medicine · 207RG0300X · Primary
License Number (3)
265139
License State (3)
MA
Taxonomy (3)
Clinic/Center, Primary Care · 261QP2300X
License Number (4)
265139
License State (4)
MA
Taxonomy (4)
Family Medicine · 207Q00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle R Johnson, MD?

The NPI number of Michelle R Johnson, MD is 1114285905. It was assigned on April 30, 2012 and is currently active in the NPPES registry.

What is the specialty of Michelle R Johnson, MD?

Michelle R Johnson, MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in MA under license number 265139.

Where does Michelle R Johnson, MD practice?

The practice location is 119 Windsor St, Cambridge, MA 02139-3647. The office can be reached at 617-665-3600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114285905 directly on the NPPES registry website.

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