DR. HEATHER ANNE BOUMA-JOHNSTON MD
NPI 1376172049
Obstetrics & Gynecology - Obstetrics in Chicago, IL

Q: What is Heather Bouma-johnston's NPI number?

The NPI number for Heather Bouma-johnston is 1376172049. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Q: What is Heather Bouma-johnston's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Active since April 05, 2020PECOS Enrolled

820 S WOOD ST, CHICAGO, IL 60612(312) 996-1331 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2026, Sep 17, 2024, May 16, 2024 and 1 more (4 updates tracked since 2020).

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About Dr. Heather Anne Bouma-johnston Md NPPES

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

DR. HEATHER ANNE BOUMA-JOHNSTON MD (NPI 1376172049) is an individual obstetrics provider in Chicago, Illinois, licensed in Illinois (036170327) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376172049

Entity TypeIndividualFemale

Primary Taxonomy207VX0000X

Provider Legal NameDR. HEATHER ANNE BOUMA-JOHNSTONCredential: MD

Location Address820 S WOOD STChicago, IL 60612-4325

Mailing Address820 S Wood StChicago, IL 60612-4325 · (312) 996-1331

Phone(312) 996-1331

Sole ProprietorNo

Enumeration DateApril 5, 2020

Last NPPES UpdateJuly 27, 20264 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1376172049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians

Taxonomy Code207VX0000X

License✔ Licensed in IL · 036170327

Definition

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

820 S WOOD ST, Chicago, IL 60612

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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. Heather Anne Bouma-johnston 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 Heather Bouma-johnston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Board Of Trustees Of The University Of Illinois

Same address

Obstetrics & Gynecology

820 S WOOD ST
Chicago, IL 60612

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

NPI 1154541936 (312) 996-7430

Rush University Medical Group

0.3 mi

Internal Medicine

1620 W HARRISON ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
2,169 clinicians in this Medicare group

NPI 1093819542 (312) 942-5000

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 60612 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.

ADAM KOSLOFF

Student in an Organized Health Care Education/Training Program

820 S WOOD ST, MC 675
CHICAGO, IL 60612

Cook County (312) 996-7000

DR. JOSEPH FRANK MICHALSKI MD, MPH, MS

Orthopaedic Surgery

820 S WOOD ST
CHICAGO, IL 60612

Cook County (516) 497-1888

VICTOR R GORDEUK MD

Internal Medicine (Hematology & Oncology)

820 S WOOD ST, SICKLE CELL CTR. SUITE 172, CLINICAL SCIENCES BUILDING
CHICAGO, IL 60612

Cook County (312) 996-5680

DR. MARIO SPAGGIARI M.D.

Transplant Surgery

820 S WOOD ST, STE 619 CSB - MC 957
CHICAGO, IL 60612

Cook County (312) 355-1885

MATTHEW JARED RANZER MD

Surgery (Plastic and Reconstructive Surgery)

820 S WOOD ST, SUITE 515 CSN
CHICAGO, IL 60612

Cook County (312) 996-9313

SOFIA SAMI MD

Psychiatry & Neurology (Psychiatry)

820 S WOOD ST
CHICAGO, IL 60612

Cook County (312) 413-1718

BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Health Maintenance Organization

820 S WOOD ST, SUITE W310 - M/C 974
CHICAGO, IL 60612

Cook County (844) 810-2273

FRANK GONZALEZ M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

820 S WOOD ST, M/C 808
CHICAGO, IL 60612

Cook County (312) 996-7006

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 Heather Bouma-johnston's NPI number?

The NPI number for Heather Bouma-johnston is 1376172049. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Heather Bouma-johnston located?

Heather Bouma-johnston practices at 820 S Wood St, Chicago, IL 60612. The listed phone number is (312) 996-1331.

What is Heather Bouma-johnston's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Heather Bouma-johnston enrolled in Medicare?

Yes. Heather Bouma-johnston is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Bouma-johnston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Bouma-johnston reassigns Medicare benefits to 2 organizations: The Board Of Trustees Of The University Of Illinois (Chicago, IL) and Rush University Medical Group (Chicago, IL). Each 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 Heather Bouma-johnston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heather Bouma-johnston was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.