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DR. KIPP WILLIAM JOHNSON MD, PHD
NPI 1225787179
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 19, 2022PECOS Enrolled
251 E HURON ST, CHICAGO, IL 60611(312) 926-2000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 11, 2025, Mar 17, 2025, May 17, 2022 (3 updates tracked since 2022).

About Dr. Kipp William Johnson Md, Phd NPPES

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

DR. KIPP WILLIAM JOHNSON MD, PHD (NPI 1225787179) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Illinois (036.173517) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225787179
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KIPP WILLIAM JOHNSONCredential: MD, PHD
Location Address251 E HURON STChicago, IL 60611-3055
Mailing Address251 E Huron StChicago, IL 60611-3055 · (312) 926-2000
Phone(312) 926-2000
Sole ProprietorNo
Enumeration DateMarch 19, 2022
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1225787179 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 · 036.173517
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.
251 E HURON ST, Chicago, IL 60611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kipp William Johnson Md, Phd 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.

MARK WANG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611
Cook County (312) 503-8144
DR. MARLEY ANN DOYLE M/D.
Psychiatry & Neurology (Psychiatry)
251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611
Cook County (312) 926-6895
CASSIDY SCHWAB MD
Anesthesiology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 695-0061
SEONG PARK
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
EMMA WALLS GREEVER MD
Emergency Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
NICOLE ELIZABETH TRUPIANO MD
Dermatology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
ASHRAF SAMHAN MD
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000
DR. SABINA SPIGNER MD, MS, MPH
Obstetrics & Gynecology
251 E HURON ST
CHICAGO, IL 60611
Cook County (312) 926-2000

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 Kipp Johnson's NPI number?

The NPI number for Kipp Johnson is 1225787179. It was assigned to this individual provider in the NPPES registry on March 19, 2022.

Where is Kipp Johnson located?

Kipp Johnson practices at 251 E Huron St, Chicago, IL 60611. The listed phone number is (312) 926-2000.

What is Kipp 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 Kipp Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kipp Johnson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.