DOMINIQUE LATRICE JOHNSON DO
NPI 1386218147
Family Medicine in Chicago, IL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Dominique Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Lawn, IL 60453
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Advocate Trinity Hospital
Acute Care Hospitals · Chicago, ILPhysician 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.
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.
CHICAGO, IL 60619
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.
Which organization bills Medicare for Dominique Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Johnson reassigns Medicare benefits to Advocate Health & Hospitals Corporation (Oak Lawn, 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 Dominique Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dominique Johnson accept?
Health plans from Oscar 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.
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 2 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.
# Dominique Latrice Johnson, DO · NPI 1386218147
Family Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since May 17, 2021.
## Identity
- **NPI:** 1386218147 (Entity type: Individual)
- **Enumerated:** May 17, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036-171797 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 E 95TH ST, Chicago, IL 60619-7861
- **Phone:** (312) 878-9240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advocate Health & Hospitals Corporation (NPI 1912936014, Oak Lawn, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** September 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386218147) · Data from the CMS NPPES public registry.