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KEVIN DARNELL JOHNSON MD
NPI 1003221680
Student in an Organized Health Care Education/Training Program in La Grange, IL

Active since June 23, 2014PECOS Enrolled
5101 WILLOW SPRINGS RD, 2ND FLOOR, LA GRANGE, IL 60525(708) 245-8900(708) 245-5604 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Darnell Johnson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN DARNELL JOHNSON MD (NPI 1003221680) is an individual student in an organized health care education/training program in La Grange, Illinois, licensed in Illinois (125065696) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003221680
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN DARNELL JOHNSONCredential: MD
Location Address5101 WILLOW SPRINGS RD, 2ND FLOORLa Grange, IL 60525-2600
Mailing Address5101 Willow Springs Rd, 2nd FloorLa Grange, IL 60525-2600 · (708) 245-8900 · Fax (708) 245-5604
Phone(708) 245-8900
Fax(708) 245-5604
Sole ProprietorNo
Enumeration DateJune 23, 2014
✔ NPI 1003221680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 125065696
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5101 WILLOW SPRINGS RD, La Grange, IL 60525
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Darnell Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHFAQ A ARAIN
Specialist/Technologist, Other (Surgical Technologist)
5101 WILLOW SPRINGS RD
LA GRANGE, IL 60525
Cook County (630) 312-7865
ERIN MANGANO LCSW
Social Worker (Clinical)
5101 WILLOW SPRINGS RD
LA GRANGE, IL 60525
Cook County (708) 945-3075
TIARA CANG ESCONDO
Nurse Practitioner (Acute Care)
5101 WILLOW SPRINGS RD
LA GRANGE, IL 60525
Cook County (708) 245-9000
JW PHARMACY & DME INC
Pharmacy
5101 WILLOW SPRINGS RD
LA GRANGE, IL 60525
Cook County (708) 588-0300
SOULA KARNEZIS C.R.N.A
Nurse Anesthetist, Certified Registered
5101 WILLOW SPRINGS RD
LA GRANGE, IL 60525
Cook County (708) 352-1200
DIANE R. NURCESKI APN-CNP
Nurse Practitioner
5101 WILLOW SPRINGS RD
LA GRANGE, IL 60525
Cook County (708) 245-4073
CATHERINE KUPCZYK OTR/L, CET,CLT-LANA
Occupational Therapist (Physical Rehabilitation)
5101 WILLOW SPRINGS RD
LA GRANGE, IL 60525
Cook County (708) 245-7900
SAMIR KHOWAJA
Physical Therapist
5101 WILLOW SPRINGS RD
LA GRANGE, IL 60525
Cook County (708) 245-7900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Johnson's NPI number?

The NPI number for Kevin Johnson is 1003221680. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Kevin Johnson located?

Kevin Johnson practices at 5101 Willow Springs Rd 2nd Floor, La Grange, IL 60525. The listed phone number is (708) 245-8900.

What is Kevin Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Johnson enrolled in Medicare?

Yes. Kevin Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas list Kevin Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Johnson was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.