Individual provider Active NPI

David Thor Johnson, MD PHD

  • Vascular & Interventional Radiology Physician
  • Aurora, CO
National Provider Identifier
1609041847
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0053422 Issued in CO
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190411001634 SC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0941425540 Reassigns benefits to 3 organizations
I20240313000803 TN Practitioner - Diagnostic Radiology 0941425540 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Indiana University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Middle Tennessee Imaging LLCGroup PAC ID 5698743706, 121 clinicians
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians

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 Hospital, Hermitage, TN, CCN 440150
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0053422COMDVascular & Interventional Radiology Physician
82086SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Vascular & Interventional Radiology CurrentSince Apr 19, 2025 Accepting new patients
Imaging Alliance Nashville Pet LLC CurrentSince Jan 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Middle Tennessee Imaging LLC CurrentSince Dec 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Mar 1, 2019 Accepting new patients
Lebanon Pet Scan Center, LLC CurrentSince Jan 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Mar 1, 2019 Accepting new patients
Tennessee Oncology PLLC CurrentSince Feb 6, 2025 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Clarksville Imaging Center LLC CurrentSince Dec 1, 2024 Accepting new patients
Tennessee Oncology PLLC CurrentSince Feb 6, 2025 Accepting new patients
Adi Radiology PC Vascular & Interventional Radiology CurrentSince Apr 19, 2025 Accepting new patients
Radiology Alliance PC Vascular & Interventional Radiology CurrentSince Aug 15, 2023 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.

View all 16

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.