JOHANA B GIMENEZRODRIGUEZ MD
NPI 1417478629
Pediatrics in Chicago, IL

Q: What is Johana Gimenezrodriguez's NPI number?

The NPI number for Johana Gimenezrodriguez is 1417478629. It was assigned to this individual provider in the NPPES registry on June 28, 2017. The provider is also known as Johana B Gimenez MD.

Q: What is Johana Gimenezrodriguez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 28, 2017PECOS Enrolled

1276 N CLYBOURN AVE, CHICAGO, IL 60610(312) 337-1073(312) 337-7616 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2024, May 3, 2024, May 14, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Johana B Gimenezrodriguez Md NPPES

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

JOHANA B GIMENEZRODRIGUEZ MD (NPI 1417478629) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036.152253) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417478629

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJOHANA B GIMENEZRODRIGUEZCredential: MD

Location Address1276 N CLYBOURN AVEChicago, IL 60610-2003

Mailing Address1276 N Clybourn AveChicago, IL 60610-2003 · (312) 337-1073 · Fax (312) 337-7616

Phone(312) 337-1073

Fax(312) 337-7616

Sole ProprietorNo

Enumeration DateJune 28, 2017

Last NPPES UpdateMay 8, 20244 updates tracked since enumeration

NPPES CertifiedMay 8, 2024

✔ NPI 1417478629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036.152253

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1276 N CLYBOURN AVE, Chicago, IL 60610

Open in Google Maps ↗

Other Names 1

Other Name (5)Johana B Gimenez Md

Secondary Practice Locations 3

Location 14116 N Lincoln AveChicago, IL 60618-3028 · Phone (773) 883-2350

Location 215 Founders Ln Ste 100Jacksonville, IL 62650-3924 · Phone (217) 243-0300 · Fax (217) 245-6775

Location 34500 Parsons BlvdFlushing, NY 11355-2205 · Phone (718) 670-5535

Other Identifiers 1

Other036.152253IL · Md License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johana B Gimenezrodriguez 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60610 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 20

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

ANDREW KOCH FNP

Nurse Practitioner (Family)