DERRICK LYNN JOHNSTON M.D. - NPI 1184852709

Q: What is Derrick Johnston's NPI number?

The NPI number for Derrick Johnston is 1184852709. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Q: What is Derrick Johnston's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Johnston was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Derrick Lynn Johnston M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK LYNN JOHNSTON M.D. (NPI 1184852709) is an individual pediatric urology provider in Tucson, Arizona, licensed in Arizona (51576) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184852709

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameDERRICK LYNN JOHNSTONCredential: M.D.

Location Address5166 E GLENN STTucson, AZ 85712-1337

Mailing Address5166 E Glenn StTucson, AZ 85712-1337 · (520) 795-5338 · Fax (520) 795-5382

Phone(520) 795-5338

Fax(520) 795-5382

Sole ProprietorNo

Enumeration DateJune 23, 2009

Last NPPES UpdateJune 2, 2016

✔ NPI 1184852709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in AZ · 51576

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

5166 E GLENN ST, Tucson, AZ 85712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derrick Lynn Johnston M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANELLE LYN VESELY N.P.

Nurse Practitioner (Family)