ANDREW JOHNSON M.D.
NPI 1114379856
Pediatrics in Chicago, IL

Q: What is Andrew Johnson's NPI number?

The NPI number for Andrew Johnson is 1114379856. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Q: What is Andrew Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Johnson was last updated on July 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2016PECOS Enrolled

5841 S MARYLAND AVE # MC8016, CHICAGO, IL 60637(773) 702-6435(773) 834-0748 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Andrew Johnson M.d. NPPES

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

ANDREW JOHNSON M.D. (NPI 1114379856) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (125069530) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114379856

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameANDREW JOHNSONCredential: M.D.

Location Address5841 S MARYLAND AVE # MC8016Chicago, IL 60637-1447

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-6435

Fax(773) 834-0748

Sole ProprietorYes

Enumeration DateJuly 6, 2016

✔ NPI 1114379856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 125069530

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5841 S MARYLAND AVE # MC8016, Chicago, IL 60637

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Andrew Johnson M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ELLEN WAGNER MD

Pediatrics