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CHRISTINE MARIE JOHNSTAD MD
NPI 1679275754
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since March 21, 2023PECOS Enrolled
30 N MARIO CAPECCHI, RM 2S100, SALT LAKE CITY, UT 84112(801) 581-7553 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2025, Jun 18, 2024, Mar 21, 2023 (3 updates tracked since 2023).

About Christine Marie Johnstad Md NPPES

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

CHRISTINE MARIE JOHNSTAD MD (NPI 1679275754) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (14242539-1205) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1679275754
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameCHRISTINE MARIE JOHNSTADCredential: MD
Location Address30 N MARIO CAPECCHI, RM 2S100Salt Lake City, UT 84112
Mailing Address30 N Mario Capecchi, Rm 2s100Salt Lake City, UT 84112 · (801) 581-7553
Phone(801) 581-7553
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1679275754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in UT · 14242539-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
30 N MARIO CAPECCHI, Salt Lake City, UT 84112
Open in Google Maps ↗

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (303) 724-9245

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine Marie Johnstad Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 4

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

CHRISTIAN KELLER MD
Radiology (Diagnostic Radiology)
30 N MARIO CAPECCHI, RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7553
ISABELLA MAKI
Emergency Medicine
30 N MARIO CAPECCHI, RM 2S200
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
JAMES MEINHARDT MD
Radiology (Diagnostic Radiology)
30 N MARIO CAPECCHI, RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
SETH THOMAS REINE MD
Radiology (Diagnostic Radiology)
30 N MARIO CAPECCHI, RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Johnstad's NPI number?

The NPI number for Christine Johnstad is 1679275754. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Christine Johnstad located?

Christine Johnstad practices at 30 N Mario Capecchi Rm 2s100, Salt Lake City, UT 84112. The listed phone number is (801) 581-7553.

What is Christine Johnstad's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Christine Johnstad enrolled in Medicare?

Yes. Christine Johnstad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christine Johnstad was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.