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

Jeremiah David Johnson

Individual provider Radiation Oncology Physician · NPI 1821594136

Jeremiah David Johnson is a Radiation Oncology in Albuquerque, New Mexico. Graduated from University of New Mexico School of Medicine in 2018, 8 years ago. Practices with New Mexico Oncology Hematology Consultants Ltd, a 66-clinician group and accepts Medicare assignment. Licensed in Kentucky and New Mexico.

Years since qualifying
8
Trained at
University of New Mexico School of Medicine
Licensed in
KY, NM
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

4901 Lang Ave NE
Albuquerque, NM 87109-4397
Phone: (505) 842-8171
Fax: (505) 246-0684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence MD2023-1654 (NM)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence 53837 (KY)

Record details

NPI number1821594136
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address4901 Lang Ave Ne, Albuquerque, NM 87109-4397

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice New Mexico Oncology Hematology Consultants Ltd — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque