KIMBERLY LEONA JOHNSON-DAVIS MD
NPI 1346407319
Family Medicine in Chicago, IL

Q: What is Kimberly Johnson-davis's NPI number?

The NPI number for Kimberly Johnson-davis is 1346407319. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Q: What is Kimberly Johnson-davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 19, 2008PECOS Enrolled

736 W 95TH ST, HALSTED MEDICAL CENTER, CHICAGO, IL 60628(773) 487-0363(708) 229-6071 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kimberly Leona Johnson-davis Md NPPES

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

KIMBERLY LEONA JOHNSON-DAVIS MD (NPI 1346407319) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125-051280) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Rush Medical College Of Rush University (2009).

NPPES Registry Identity

NPI1346407319

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKIMBERLY LEONA JOHNSON-DAVISCredential: MD

Location Address736 W 95TH ST, HALSTED MEDICAL CENTERChicago, IL 60628-1063

Mailing Address736 W 95th St, Halsted Medical CenterChicago, IL 60628-1063 · (773) 487-0363 · Fax (708) 229-6071

Phone(773) 487-0363

Fax(708) 229-6071

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2009

Enumeration DateMay 19, 2008

Last NPPES UpdateJuly 1, 2025

NPPES CertifiedJuly 1, 2025

✔ NPI 1346407319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125-051280

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

736 W 95TH ST, Chicago, IL 60628

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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)

Kimberly Leona Johnson-davis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537303318

PECOS Enrollment IDI20130917000559

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 Reassignment

Medicare enrollment records show Kimberly Johnson-davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Little Company Of Mary Affiliated Services Inc

2.6 mi

Internal Medicine

2800 W 95TH ST
Evergreen Park, IL 60805

Reassigned Medicare billing, Illinois enrollment
67 clinicians in this Medicare group

NPI 1588617260 (708) 229-5171

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

136 services81 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

49 services27 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

47 services27 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

42 services36 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140179

Location2800 W 95th StEvergreen Park, IL 60805 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60628 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

58%290 patients3/55-star benchmark: 92%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

98%2,330 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 99% · 771 patients

Patients tobacco: 99% · 763 patients

77%30 patients4/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers14 claims50 services$7.03 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims20 services$1.22 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers11 claims11 services$13.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DANICA TONYA HOMERE WHNP-BC

Nurse Practitioner (Women's Health)

736 W 95TH ST
CHICAGO, IL 60628

Cook County (737) 487-7700

JOHN HOBBS M.D.

Obstetrics & Gynecology

736 W 95TH ST, HALSTED MEDICAL CENTER
CHICAGO, IL 60628

Cook County (773) 487-7700

LEONARD JAMES LAWSON M.D.

Obstetrics & Gynecology

736 W 95TH ST, HALSTED MEDICAL CENTER
CHICAGO, IL 60628

Cook County (773) 487-7700

AQUILA SHELBY APRN-FNP-C

Nurse Practitioner (Family)

736 W 95TH ST
CHICAGO, IL 60628

Cook County (773) 487-0363

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 Kimberly Johnson-davis's NPI number?

The NPI number for Kimberly Johnson-davis is 1346407319. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Kimberly Johnson-davis located?

Kimberly Johnson-davis practices at 736 W 95th St Halsted Medical Center, Chicago, IL 60628. The listed phone number is (773) 487-0363.

What is Kimberly Johnson-davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberly Johnson-davis enrolled in Medicare?

Yes. Kimberly Johnson-davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Johnson-davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Johnson-davis reassigns Medicare benefits to Little Company Of Mary Affiliated Services Inc (Evergreen Park, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Johnson-davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kimberly Johnson-davis affiliated with any hospitals?

According to CMS data, Kimberly Johnson-davis is affiliated with Osf Little Company Of Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Johnson-davis was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.