DR. CAMILLE ANDREA JOHNSON MD
NPI 1205456381
Obstetrics & Gynecology in Chicago, IL

Q: What is Camille Johnson's NPI number?

The NPI number for Camille Johnson is 1205456381. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Q: What is Camille Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Camille Johnson was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 20, 2020PECOS Enrolled

5841 S MARYLAND AVE # MC2050, CHICAGO, IL 60637(773) 834-0598 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2020, Apr 20, 2020 (2 updates tracked since 2020).

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About Dr. Camille Andrea Johnson Md NPPES

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

DR. CAMILLE ANDREA JOHNSON MD (NPI 1205456381) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036162939) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205456381

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. CAMILLE ANDREA JOHNSONCredential: MD

Location Address5841 S MARYLAND AVE # MC2050Chicago, IL 60637-1443

Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965

Phone(773) 834-0598

Sole ProprietorNo

Enumeration DateApril 20, 2020

Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration

NPPES CertifiedAugust 28, 2024

✔ NPI 1205456381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036162939

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5841 S MARYLAND AVE # MC2050, Chicago, IL 60637

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Camille Andrea 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.

Medicare Billing Reassignments

Medicare enrollment records show Camille Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center

Same address

General Acute Care Hospital

5841 S MARYLAND AVE
Chicago, IL 60637

Reassigned Medicare billing, Illinois enrollment
1,905 clinicians in this Medicare group

NPI 1033218128 (773) 702-1530

University Of Chicago

Same address

Multi-Specialty

5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637

Reassigned Medicare billing, Illinois enrollment
2,237 clinicians in this Medicare group

NPI 1821048786 (773) 702-9200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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.

MALAVIKA KALYANI PERINCHERY MD

Obstetrics & Gynecology