Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek B Johnson, MD

Individual provider Surgery Physician · NPI 1912944661

Derek B Johnson, MD is a General Surgery in Santa Fe, New Mexico. Qualified in 1999, 27 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts, New Mexico and Wisconsin.

Years since qualifying
27
Licensed in
MA, NM, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

454 Saint Michaels Dr Ste 200
Santa Fe, NM 87505
Phone: (505) 303-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 County Road B, Shawano, WI 54166-7072 — (715) 524-2161

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD2018-0748 (NM)
Surgery Physician Taxonomy 208600000X · Licence 224930 (MA)
Surgery Physician Taxonomy 208600000X · Licence 49065 (WI)

Record details

NPI number1912944661
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESAugust 28, 2018
Mailing addressPo Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Presbyterian Healthcare Services — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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