Luke S Johnson, MD
Individual provider Active NPI Dermatology Physician · Murray, UT
NPI 1124361233 · NPPES record last updated Jun 23, 2022
Key facts
- NPI
- 1124361233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 10738970-1205 (UT)
- Practice address
- 243 E 6100 S
Murray, UT 84107-7302 - Phone
- (801) 581-2955
- NPI assigned
- Mar 27, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- University of Pittsburgh School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dermatology Division University of Utah Medical Center
Practice addresses (Care Compare)
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 587-6340
Hospital & facility affiliations
- University of Utah Hospital and Clinics
- West Virginia University Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.84 of 100
- Quality
- 87.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 52.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 157 |
| Removal or shaving of skin growth | 11 |
| Skin biopsy | 38 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180904002129 | UT | Practitioner - Dermatology | 2769781772 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10738970-1205 | UT | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U-U Pediatric Dermatology | Current |
Accepting new patients | |
| Dermatology Division University of Utah Medical Center | Dermatology | Current |
Accepting new patients |
Locations
250 E 200 S
Ste 1350
Salt Lake City, UT 84111
Phone 80158763362003
243 E 6100 S
Salt Lake City, UT 84107
Phone (801) 581-6465
81 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 662-5700
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- ljohnson308029@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD182703 | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | 10738970-1205 | UT | Yes |
Addresses
Primary practice location
243 E 6100 S
Murray, UT 84107-7302
Mailing address
30 N 1900 E
Salt Lake City, UT 84132-0002
Phone (801) 581-2955
Other practice location 1
200 Lothrop St
UPMC Montefiore suite N-715
Pittsburgh, PA 15213-2536
Phone (412) 692-4700
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ljohnson308029@direct.med.utah.edu | Direct | University of Utah |
NPI Registry JSON
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1124361233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 1900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320002",
"telephone_number": "801-581-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 E 6100 S",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077302",
"telephone_number": "801-581-2955"
}
],
"practiceLocations": [
{
"address_1": "200 Lothrop St",
"address_2": "UPMC Montefiore suite N-715",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152132536",
"country_code": "US",
"telephone_number": "412-692-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "LUKE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-27",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "MD182703",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "UT",
"license": "10738970-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ljohnson308029@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.