LUCAS ANDREW JOHNSON MD
NPI 1417698291
Pediatrics in Indianapolis, IN

Q: What is Lucas Johnson's NPI number?

The NPI number for Lucas Johnson is 1417698291. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Lucas Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Lucas Johnson was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since April 05, 2022PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 948-2700(317) 948-2959 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, May 19, 2025, Apr 5, 2022 (3 updates tracked since 2022).

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About Lucas Andrew Johnson Md NPPES

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

LUCAS ANDREW JOHNSON MD (NPI 1417698291) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (01096562A) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Medical College Of Georgia School Of Medicine (2022).

NPPES Registry Identity

NPI1417698291

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameLUCAS ANDREW JOHNSONCredential: MD

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 948-2700

Fax(317) 948-2959

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateFebruary 14, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2026

✔ NPI 1417698291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01096562A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 1705 Riley Hospital DrIndianapolis, IN 46202-5109 · Phone (317) 944-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Lucas Andrew Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820476302

PECOS Enrollment IDI20250910001681

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)