Active NPI
David Thor Johnson, MD PHD
- Vascular & Interventional Radiology Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- DR.0053422
- Practice address
- 12605 E 16TH Ave
Aurora, CO 80045-2545 - Phone
- (720) 848-0000
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | DR.0053422 | CO | Primary |
Addresses
Primary practice location
12605 E 16TH Ave
Aurora, CO 80045-2545
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000
Other practice location 1
505 Parnassus Ave # M-391
UCSF Department of Radiology
San Francisco, CA 94143-0628
Phone (415) 476-8358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Indiana University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Mount Pleasant, SC 29464
Phone (615) 312-0600
1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4587
28 White Bridge Pike
Suite 111
Nashville, TN 37205-1466
Phone (615) 356-3999
28 White Bridge Rd
Nashville, TN 37205-1466
Phone (615) 356-3999
4809 Belmont Park Ter
Nashville, TN 37215-4421
Phone (866) 722-1655
5655 1St Blvd
Hermitage, TN 37076-2053
Phone (615) 312-0600
Hospital & facility affiliations
- Tristar Summit Medical Center
- Tristar Centennial Medical Center
- Tristar Skyline Medical Center
- Williamson Medical Center
- Tristar Hendersonville Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0053422 | CO | MD | Vascular & Interventional Radiology Physician |
| 82086 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Imaging Alliance Nashville Pet LLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Middle Tennessee Imaging LLC | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Lebanon Pet Scan Center, LLC | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Tennessee Oncology PLLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Clarksville Imaging Center LLC | Current | Accepting new patients | |
| Tennessee Oncology PLLC | Current | Accepting new patients | |
| Adi Radiology PC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Middle Tennessee Imaging, LLC | Past | Accepting new patients | |
| Tennessee Oncology,PLLC | Past | Accepting new patients | |
| Tennessee Oncology, PLLC | Past | Accepting new patients |
Locations (25 of 28)
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
3754 Murfreesboro Pike
Ste 102
Antioch, TN 37013
Phone (615) 467-4642
789 Old Hickory Blvd
Brentwood, TN 37027
Phone (615) 555-6870
2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564
980 Professional Park Dr
Ste E
Clarksville, TN 37040
Phone (615) 327-2001
4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387
4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000
3310 Aspen Grove Dr
Ste 101
Franklin, TN 37067
Phone (615) 771-0171
110 Saint Blaise Rd
Ste 102
Gallatin, TN 37066
Phone (615) 467-4640
262 New Shackle Island Rd
Ste 206
Hendersonville, TN 37075
Phone (615) 986-6050
5045 Old Hickory Blvd
Ste 100
Hermitage, TN 37076
Phone (615) 884-7674
1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237
5002 Crossings Cir
Ste 140
Mt Juliet, TN 37122
Phone (615) 773-7237
1840 Medical Center Pkwy
Ste 101
Murfreesboro, TN 37129
Phone (615) 896-1234
1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100
28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153
2018 Murphy Ave
Ste 200
Nashville, TN 37203
Phone (615) 320-7387
1800 Charlotte Ave
Nashville, TN 37203
4230 Harding Pike
Ste 220
Nashville, TN 37205
Phone (615) 467-1050
28 White Bridge Pike
Ste 104
Nashville, TN 37205
2323 Crestmoor Rd
Nashville, TN 37215
1718 Charlotte Ave
Ste B
Nashville, TN 37203
Phone (615) 620-5480
5700 Temple Rd
Ste 102
Nashville, TN 37221
Phone (615) 986-5993
210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479
Organizations & group practices 16
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.
-
- Diagnostic Radiology Physician
- Franklin, TN
- NPI 1083266761
Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Dickson, TN
- NPI 1770667289
-
- Diagnostic Radiology Physician
- Murfreesboro, TN
- NPI 1316043524
Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1861478489
SC, Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Clarksville, TN
- NPI 1043285539
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1811955917
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Radiology Clinic/Center
- Nashville, TN
- NPI 1285619270
-
- Diagnostic Radiology Physician
- Lebanon, TN
- NPI 1114551132
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1023066149
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
-
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
-
- General Acute Care Hospital
- Hendersonville, TN
- NPI 1538114434
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1295780476
-
- General Acute Care Hospital
- Franklin, TN
- NPI 1265445506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609041847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [
{
"address_1": "505 Parnassus Ave # M-391",
"address_2": "UCSF Department of Radiology",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941430628",
"country_code": "US",
"telephone_number": "415-476-8358",
"fax_number": "415-476-0616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DAVID",
"middle_name": "THOR",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CO",
"license": "DR.0053422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.