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COLEEN JOHNSON M.D.
NPI 1235513664
General Acute Care Hospital in Chicago, IL

Active since July 15, 2015PECOS EnrolledAccepts Medicare Assignment
1501 S CALIFORNIA AVE, DEPARTMENT OF FAMILY MEDICINE L1026, CHICAGO, IL 60608(708) 406-5929 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2021, Nov 15, 2016 (2 updates tracked since 2016).

About Coleen Johnson M.d. NPPES

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

COLEEN JOHNSON M.D. (NPI 1235513664) is an individual general acute care hospital provider in Chicago, Illinois, licensed in Illinois (125066897) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1235513664
Entity TypeIndividualFemale
Primary Taxonomy282N00000X
Provider Legal NameCOLEEN JOHNSONCredential: M.D.
Location Address1501 S CALIFORNIA AVE, DEPARTMENT OF FAMILY MEDICINE L1026Chicago, IL 60608-1732
Mailing Address1501 S California Ave, Department Of Family Medicine L1026Chicago, IL 60608-1732
Phone(708) 406-5929
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 15, 2015
Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1235513664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in IL · 125066897
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1501 S CALIFORNIA AVE, Chicago, IL 60608
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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 and accepts Medicare assignment

Coleen Johnson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032462932
PECOS Enrollment IDI20181023001508, I20191104002548, I20210426001015
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.

STEPHANIE JORDAN
Community Health Worker
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 542-2000
DR. SURAIYA I ALVI M.D.
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6843
MOUNT SINAI COMMUNITY FOUNDATION
Physician Assistant (Surgical)
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6663
DR. AMARDEEP SINGH M.D.
Emergency Medicine
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6843
DR. NANCY A SIBIGTROTH M.D.
Radiology (Diagnostic Radiology)
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6498
DR. SHANTA NATH M.D.
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6184
DR. MOHAMMED AZHER KASSEM M.D
Internal Medicine
1501 S CALIFORNIA AVE, MT SINAI HOSPITAL, CANCER CARE CENTER
CHICAGO, IL 60608
Cook County (773) 257-6120
ALYNA CHIEN MD
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6770

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 Coleen Johnson's NPI number?

The NPI number for Coleen Johnson is 1235513664. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Where is Coleen Johnson located?

Coleen Johnson practices at 1501 S California Ave Department Of Family Medicine L1026, Chicago, IL 60608. The listed phone number is (708) 406-5929.

What is Coleen Johnson's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Coleen Johnson enrolled in Medicare?

Yes. Coleen Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Coleen Johnson was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.