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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (73 clinicians)

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 Hospital · Salt Lake City, UT · CCN 460009
  • West Virginia University Hospitals, Inc Hospital · Morgantown, WV · CCN 510001

Merit-based Incentive Payment System (MIPS)

Final score
81.84 of 100 (group)
Quality
87.03
Promoting interoperability
100
Improvement activities
40
Cost
52.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions157
Removal or shaving of skin growth11
Skin biopsy38

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 IDStateProvider typePAC IDDetails
I20180904002129 UT Practitioner - Dermatology 2769781772 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10738970-1205UTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U-U Pediatric Dermatology Current
since Jul 1, 2018
Accepting new patients
Dermatology Division University of Utah Medical Center Dermatology Current
since Jul 1, 2018
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

  • Direct secure messaging: ljohnson308029@direct.med.utah.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address ljohnson308029@direct.med.utah.edu Direct University of Utah

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 23, 2022.

{
    "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

All providers in Murray, UT · Dermatology Physician in Utah

Sources for this page

Verify at the official NPI Registry.