DEREK K JOHNSON MD NPI 1285622183

NPI Information

  • NPI: 1285622183
  • Provider Name: DEREK K JOHNSON, MD
  • Classification: Pediatrics - 2080P0201X
  • Specialization: Pediatric Allergy/Immunology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3903A FAIR RIDGE DR
    FAIRFAX, VA
    ZIP 22033
  • Phone: (703) 648-0030

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NPI Details

Derek K Johnson, MD is a pediatric allergy/immunology pediatrics in Fairfax, VA with 31 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Derek K Johnson, MD NPI is 1285622183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

3903A FAIR RIDGE DR
FAIRFAX, VA
ZIP 22033-938
Phone: (703) 648-0030
Fax: (703) 648-9028

The NPI 1285622183 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.

  • Test for allergy using allergenic extract (HCPCS:95004)
  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 10/13/2005 and was last updated on 2/27/2017.

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
12080P0201XPediatricsPediatric Allergy/ImmunologyMD 065160LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H64721MEDICARE UPIN
20018751530003MEDICAIDPENNSYLVANIA

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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