NPIMap

Individual provider Active NPI

Craig Martin Johnson, M.D.

  • Nuclear Radiology Physician
  • Omaha, NE
National Provider Identifier
1295027167
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
9699166-1205 Issued in UT
Practice address
Emile @ 42ND St
Omaha, NE 68198-1045
Phone
(402) 559-1010
Fax
(102) 559-1011
NPI assigned
May 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9699166-1205 UT
Diagnostic Radiology Physician 2085R0202X 30586 NE
Nuclear Radiology Physician 2085N0904X 9699166-1205 UT Primary

Addresses

Primary practice location

Emile @ 42ND St
Omaha, NE 68198-1045

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cjohnson199788@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, UT, AZ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180724002625 NE Practitioner - Diagnostic Radiology 8325346778 Reassigns benefits to 3 organizations
I20250905003231 UT Practitioner - Nuclear Medicine 8325346778 Reassigns benefits to 1 organization
I20260309003048 AZ Practitioner - Diagnostic Radiology 8325346778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

Omaha, NE 68116
Phone (801) 581-2121

2315 N 178TH St
Omaha, NE 68116-2253
Phone (480) 425-5000

3501 N Scottsdale Rd
Suite 130
Scottsdale, AZ 85251-5649
Phone (480) 425-5000

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 585-6387

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9699166-1205UTMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Diagnostic Imaging LLC Nuclear Radiology CurrentSince Feb 16, 2026 Accepting new patients
Nebraska Health Imaging LLC Diagnostic Radiology CurrentSince Jul 5, 2018 Accepting new patients
Unmc Physicians CurrentSince Jul 5, 2018 Accepting new patients
University of Utah Adult Services CurrentSince Jul 15, 2025 Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Jul 15, 2025 Accepting new patients
University of Utah Adult Services Current Accepting new patients

Locations

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

7819 Dodge St
Omaha, NE 68114
Phone (402) 384-8882

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 11

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1295027167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMILE @ 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981045",
            "telephone_number": "402-559-1010",
            "fax_number": "102-559-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRAIG",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "9699166-1205",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "30586",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "UT",
            "license": "9699166-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson199788@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.