ETHAN JOHNSTON MD
NPI 1457939142
Psychiatry & Neurology - Psychiatry in Maywood, IL
About Ethan Johnston Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN JOHNSTON MD (NPI 1457939142) is an individual psychiatry provider in Maywood, Illinois, licensed in Illinois (036176111) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Ethan Johnston Md 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Loyola University Medical Center
Acute Care Hospitals · Maywood, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60153 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 Ethan Johnston's NPI number?
The NPI number for Ethan Johnston is 1457939142. It was assigned to this individual provider in the NPPES registry on April 1, 2021.
Where is Ethan Johnston located?
Ethan Johnston practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9000.
What is Ethan Johnston's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Ethan Johnston enrolled in Medicare?
Yes. Ethan Johnston 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.
Is Ethan Johnston affiliated with any hospitals?
According to CMS data, Ethan Johnston is affiliated with Loyola University Medical Center.
When was this NPI record last updated?
The NPPES record for Ethan Johnston was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ethan Johnston, MD · NPI 1457939142
Psychiatry physician in Maywood, Illinois. Individual provider, active in the CMS NPPES registry since April 1, 2021.
## Identity
- **NPI:** 1457939142 (Entity type: Individual)
- **Enumerated:** April 1, 2021
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 036176111 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2160 S 1ST AVE, Maywood, IL 60153-3328
- **Phone:** (708) 216-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457939142) · Data from the CMS NPPES public registry.