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DOMINIQUE LATRICE JOHNSON DO
NPI 1386218147
Family Medicine in Chicago, IL

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
901 E 95TH ST, CHICAGO, IL 60619(312) 878-9240 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, Jun 24, 2024, Jul 7, 2021 and 1 more (4 updates tracked since 2021).

About Dominique Latrice Johnson Do NPPES

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

DOMINIQUE LATRICE JOHNSON DO (NPI 1386218147) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036-171797) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1386218147
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDOMINIQUE LATRICE JOHNSONCredential: DO
Location Address901 E 95TH STChicago, IL 60619-7861
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(312) 878-9240
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2021
Enumeration DateMay 17, 2021
Last NPPES UpdateSeptember 12, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1386218147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036-171797✔ Licensed in MI · 5151015221
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.
901 E 95TH ST, Chicago, IL 60619
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dominique Latrice Johnson Do 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 ID7315349131
PECOS Enrollment IDI20240923000993
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.

Hospital Affiliations CMS Care Compare 2

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60619 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.

Other Providers at the Same Location NPPES 7

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

NAILAH CASH-O'BANNON M.D
Family Medicine
901 E 95TH ST
CHICAGO, IL 60619
Cook County (312) 878-9240
COGNITIVE FOCUS CENTERS, INC.
Clinic/Center (Adolescent and Children Mental Health)
901 E 95TH ST
CHICAGO, IL 60619
Cook County (412) 606-8214
JULIE V TAYLOR M.D.
Family Medicine
901 E 95TH ST
CHICAGO, IL 60619
Cook County (312) 878-9240
MONASHAY LEE
Nurse Practitioner
901 E 95TH ST
CHICAGO, IL 60619
Cook County (312) 878-9240
VICTORIA NICOLE HOOKER MD
Family Medicine
901 E 95TH ST
CHICAGO, IL 60619
Cook County (312) 878-9240
DAKISHA NICOLE LEWIS
Obstetrics & Gynecology
901 E 95TH ST
CHICAGO, IL 60619
Cook County (312) 878-9240
MS. LATOYA S DUNCAN FPA NP
Nurse Practitioner (Family)
901 E 95TH ST
CHICAGO, IL 60619
Cook County (312) 878-9240

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 Dominique Johnson's NPI number?

The NPI number for Dominique Johnson is 1386218147. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Dominique Johnson located?

Dominique Johnson practices at 901 E 95th St, Chicago, IL 60619. The listed phone number is (312) 878-9240.

What is Dominique Johnson's specialty?

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

Is Dominique Johnson enrolled in Medicare?

Yes. Dominique 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.

What insurance does Dominique Johnson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Dominique Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dominique Johnson affiliated with any hospitals?

According to CMS data, Dominique Johnson is affiliated with Advocate Trinity Hospital and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Dominique Johnson was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.