GARY BLAKE JOHNSON MD NPI 1144223827

NPI Information

  • NPI: 1144223827
  • Provider Name: GARY BLAKE JOHNSON, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24 S 1100 E STE 105
    SALT LAKE CITY, UT
    ZIP 84102
  • Phone: (801) 965-3600

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NPI Details

Gary Blake Johnson, MD is an urology in Salt Lake City, UT with 27 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Gary Blake Johnson, MD NPI is 1144223827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1999

The provider's business location address is:

24 S 1100 E STE 105
SALT LAKE CITY, UT
ZIP 84102-593
Phone: (801) 965-3600

The NPI 1144223827 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Urinalysis, manual test (HCPCS:81002)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Biopsy of prostate gland (HCPCS:55700)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Destruction of prostate tissue using radiofrequency induced heated water vapor (HCPCS:53854)
  • Surgical removal of prostate and surrounding lymph nodes using an endoscope (HCPCS:55866)
  • Removal of lymph nodes of both sides of pelvis using an endoscope (HCPCS:38571)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 5/24/2005 and was last updated on 2/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist5860718-1205UTAHNo
2208800000XUrology5860718-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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