Individual provider Active NPI

Martin Lewis Johnson, M.D.

  • Dermatology Physician
  • Hot Springs, AR
National Provider Identifier
1225023773
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E-5113 Issued in AR
Practice address
3633 Central Ave
Suite N
Hot Springs, AR 71913-6475
Phone
(501) 623-6100
Fax
(501) 623-6187
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 018949 LA
Dermatology Physician 207N00000X M6214 TX
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 15320 MS
Dermatology Physician 207N00000X E-5113 AR Primary

Addresses

Primary practice location

3633 Central Ave
Suite N
Hot Springs, AR 71913-6475

Mailing address

3633 Central Ave
Suite N
Hot Springs, AR 71913-6475
Phone (501) 623-6100

Other identifiers 2

IdentifierTypeStateIssuer
166140001MedicaidAR
E5113OtherARSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL thedermatologyclinicofarkansas.ema.md Health Information Exchange (HIE) The Dermatology Clinic PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000151 AR Practitioner - Dermatology 9335234830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Clinic PAGroup PAC ID 4789663345, 9 clinicians

Practice addresses (Care Compare)

3633 Central Ave
Suite N
Hot Springs, AR 71913-6475
Phone (501) 623-6100

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
70.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision66
Removal of skin lesions1728
Removal of skin cancer254
Removal of nail tissue1-10
Removal or shaving of skin growth14
Skin biopsy334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018949LAMDDermatology Physician
15320MSMDClinical & Laboratory Dermatological Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Clinic PA Dermatology CurrentSince Feb 23, 2020 Accepting new patients
The Dermatology Clinic PA Dermatology CurrentSince Feb 1, 2011 Accepting new patients
Tulane Dermatology Affiliates Dermatology Past Accepting new patients

Locations

1710 Malvern Ave
Hot Springs, AR 71901
Phone (501) 623-6100

3633 Central Ave
Ste N
Hot Springs National Park, AR 71913
Phone (501) 623-6100

119 Medical Cir
Ste 1
Nashville, AR 71852
Phone (870) 845-6050

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1225023773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CENTRAL AVE",
            "address_2": "SUITE N",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136475",
            "telephone_number": "501-623-6100",
            "fax_number": "501-623-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CENTRAL AVE",
            "address_2": "SUITE N",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136475",
            "telephone_number": "501-623-6100",
            "fax_number": "501-623-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARTIN",
        "middle_name": "LEWIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "018949",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M6214",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "MS",
            "license": "15320",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E-5113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166140001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E5113",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thedermatologyclinicofarkansas.ema.md",
            "affiliation": "Y",
            "affiliationName": "The Dermatology Clinic PA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3633 Central Ave",
            "address_2": "Suite N",
            "city": "Hot Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719136475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.