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

Lucas Andrew Johnson, MD

Individual provider Pediatrics Physician · NPI 1417698291

Lucas Andrew Johnson, MD is a Pediatric Medicine in Indianapolis, Indiana. Graduated from Medical College of Georgia School of Medicine in 2022, 4 years ago. Works from 2 locations. Licensed in Indiana.

Years since qualifying
4
Trained at
Medical College of Georgia School of Medicine
Licensed in
IN
In the registry since
2022
Specialties on file
2
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

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 948-2700
Fax: (317) 948-2959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 — (317) 944-5000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01096562A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417698291
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESFebruary 14, 2026
Certification dateFebruary 14, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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