Derek B Johnson, M.D.
Derek B Johnson is a Surgery Physician provider (Surgery) practicing in Santa Fe, NM, registered in the NPPES registry with NPI 1912944661 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912944661 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Derek B Johnson |
| Credential | M.D. |
| Sex | Male |
| Practice address | 454 SAINT MICHAELS DR STE 200, Santa Fe, NM, 87505 |
| Phone | 5053035000 |
| Enumeration date | 2006-06-01 |
| Last updated in NPPES | 2018-08-28 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Secondary | 224930 | MA |
| 208600000X | Surgery Physician | Secondary | 49065 | WI |
| 208600000X | Surgery Physician | Primary | MD2018-0748 | NM |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34863900 | Medicaid | WI | — |
| 057945003 | Other | WI | MEDICARE PTAN |
Copy-ready billing details
Provider: Derek Johnson, M.D. NPI: 1912944661 Taxonomy: 208600000X (Surgery Physician) Address: 454 SAINT MICHAELS DR STE 200, Santa Fe, NM, 87505
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417946609 | Amy Jelliffe | Individual | Psychiatry Physician | Santa Fe, NM |
| 1851310270 | Stuart Hochron | Individual | Internal Medicine Physician | Santa Fe, NM |
| 1265962195 | Elizabeth Koffler | Individual | Family Medicine Physician | Santa Fe, NM |
| 1215591359 | Maria Barreras | Individual | Family Medicine Physician | Santa Fe, NM |
| 1801416482 | Hsiang Chih Tseng | Individual | Internal Medicine Physician | Santa Fe, NM |
| 1023696127 | Tenzin Yangchen | Individual | Family Medicine Physician | Santa Fe, NM |
| 1679151500 | Hannah Lamar Gibson | Individual | Family Medicine Physician | Santa Fe, NM |
| 1962082388 | Elizabeth Heeder | Individual | Family Medicine Physician | Santa Fe, NM |
Verify this record
Cross-check NPI 1912944661 against the authoritative CMS record: view Derek B Johnson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-08-28.