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

Dr. Sean K Johnston, MD

Individual provider Diagnostic Radiology Physician · NPI 1609052000

Dr. Sean K Johnston, MD is a Diagnostic Radiology in Roseville, Minnesota. Graduated from Meharry Medical College School of Medicine in 2005, 21 years ago. Practices with Lutheran Charity Association, a 167-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Louisiana, Minnesota and Ohio and 1 more.

Years since qualifying
21
Trained at
Meharry Medical College School of Medicine
Licensed in
CA, LA, MN, OH, TX
In the registry since
2008
Specialties on file
5
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

2355 Hwy 36 W Ste 100
Roseville, MN 55113-3905
Phone: (651) 292-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 San Pablo St Fl 2, Los Angeles, CA 90033-5313 — (323) 442-8541

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 71179 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence C136738 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35097777 (OH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence P4768 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD.201955 (LA)

Record details

NPI number1609052000
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 15, 2008
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address2355 Hwy 36 W., Ste. 100, Roseville, MN 55113-3905

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Lutheran Charity Association — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations20 on file with Medicare

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