MARK R JOHNSON M.D.
NPI 1205811775
Pediatrics - Pediatric Pulmonology in Springfield, IL

Q: What is Mark Johnson's NPI number?

The NPI number for Mark Johnson is 1205811775. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is Mark Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Q: When was this NPI record last updated?

The NPPES record for Mark Johnson was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 07, 2005PECOS Enrolled

301 N 8TH ST, SPRINGFIELD, IL 62701(217) 545-0702(217) 545-5834 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mark R Johnson M.d. NPPES

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

MARK R JOHNSON M.D. (NPI 1205811775) is an individual pediatric pulmonology provider in Springfield, Illinois, licensed in Illinois (036-093433) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205811775

Entity TypeIndividualMale

Primary Taxonomy2080P0214X

Provider Legal NameMARK R JOHNSONCredential: M.D.

Location Address301 N 8TH STSpringfield, IL 62701-1041

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-7578 · Fax (217) 545-1884

Phone(217) 545-0702

Fax(217) 545-5834

Sole ProprietorNo

Enumeration DateDecember 7, 2005

Last NPPES UpdateNovember 17, 2020

NPPES CertifiedNovember 17, 2020

✔ NPI 1205811775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

License✔ Licensed in IL · 036-093433

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

301 N 8TH ST, Springfield, IL 62701

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Other Identifiers 1

Medicaid036093433IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark R 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.

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.

REBECCA L SAUNDERS CPNP

Nurse Practitioner

301 N 8TH ST, PAV 4B
SPRINGFIELD, IL 62701

Sangamon County (217) 545-7500

TRACY P MILBRANDT M.D.

Pediatrics

301 N 8TH ST
SPRINGFIELD, IL 62701

Sangamon County (217) 545-4238

ASHLEY KIRKPATRICK MSN,FNP-BC

Nurse Practitioner (Family)

301 N 8TH ST
SPRINGFIELD, IL 62701

Sangamon County (217) 528-8000

JENNIFER LOUISE BERRY AUD

Audiologist

301 N 8TH ST, PAV 5B
SPRINGFIELD, IL 62701

Sangamon County (217) 545-6099

JOSHUA DALE CAMPBELL APRN

Nurse Practitioner (Adult Health)

301 N 8TH ST
SPRINGFIELD, IL 62701

Sangamon County (217) 528-7541

TODD DAVID ELMORE MD

Psychiatry & Neurology (Neurology)

301 N 8TH ST
SPRINGFIELD, IL 62701

Sangamon County (217) 528-7541

CRAIG E BATTERMAN M.D.

Pediatrics

301 N 8TH ST, STE PAV4A
SPRINGFIELD, IL 62701

Sangamon County (217) 545-4238

DR. RAHUL NAYANI MD

Internal Medicine (Gastroenterology)

301 N 8TH ST
SPRINGFIELD, IL 62701

Sangamon County (217) 528-7541

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 Mark Johnson's NPI number?

The NPI number for Mark Johnson is 1205811775. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Mark Johnson located?

Mark Johnson practices at 301 N 8th St, Springfield, IL 62701. The listed phone number is (217) 545-0702.

What is Mark Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Mark Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Johnson was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.