JORDAN THOMAS JOHNSON DO
NPI 1750842902
Emergency Medicine in Chicago, IL
NPI Status: Active since March 29, 2019
Contact Information
1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612
Phone: (312) 947-0029
- Individual
- Male
- Years of Experience 7
- Emergency Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JORDAN JOHNSON
This page provides the complete NPI Profile along with additional information for Jordan Johnson, a provider established in Chicago, Illinois with a medical specialization in Emergency Medicine and more than 7 years of experience. He graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2019. The healthcare provider is registered in the NPI registry with number 1750842902 assigned on March 2019. The practitioner's primary taxonomy code is 207P00000X with license number 036161418 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1750842902
- Provider Name
- JORDAN THOMAS JOHNSON DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1653 W CONGRESS PKWY CHICAGO, IL 60612
- Location Phone
- (312) 947-0029
- Mailing Address
- 1653 W CONGRESS PKWY CHICAGO, IL 60612
- Mailing Phone
- (312) 947-0029
- Medical School Name
- LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
- Graduation Year
- 2019
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-29-2019
- Last Update Date
- 07-14-2022
- Code Navigator
Location Map
Secondary Locations
- 119 Oakfield Dr
Brandon, FL 33511
(813) 681-5551
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036161418
- License State
- IL
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jordan Johnson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jordan Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9638407687
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220407002486
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 58 times for 57 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 23 times for 22 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.51 for a new patient copayment and $26.42 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60612 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.06
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $23.51
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jordan Johnson is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
HCA FLORIDA MERCY HOSPITAL | 3663 S MIAMI AVE MIAMI, FL 33133 | (305) 854-4400 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 5 | 0 | 8 | 4 | 2 | 9 | 0 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 16 | 4 | 4 | 9 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 1 + 6 + 4 + 4 + 9 + 0 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1750842902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MRS. BETH NACHTSHEIM BOLICK RN CNP
Nurse Practitioner
(Pediatrics, Critical Care)
1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612
DR. KOUSIKI PATRA MD
Pediatrics
(Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY
MURDOCK 622
CHICAGO, IL
ZIP 60612
DR. KALLIOPI SIZIOPIKOU MD
Pathology
(Anatomic Pathology & Clinical Pathology)
1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612
DR. ALEXANDER C TEMPLETON MD
Pathology
(Anatomic Pathology & Clinical Pathology)
1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612
DR. ABBAS ZARIF MD
Specialist
1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612
DR. MARILYN MAY HALLOCK M.D.
Emergency Medicine
1653 W CONGRESS PKWY
177 MURDOCK
CHICAGO, IL
ZIP 60612
GALETA CAROLYN CLAYTON M.D.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
DINO PETER RUMORO D.O.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
YANINA PURIM SHEM TOV M.D.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
RAHUL G PATWARI M.D.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
EDWARD WARD M.D.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
JULIO C SILVA M.D.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
JOSEPH JULIUS BRAWKA M.D.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
JEFFREY L GRASSLE M.D.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
PAULA OLDEG M.D.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
JANE E KRAMER M.D.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
RUSH UNIVERSITY MEDICAL CENTER
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
ANDREAS SKOUBIS D.O.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
BRUCE C MCLEOD MD
Specialist
1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612
KAMENO BELL M.D.
Emergency Medicine
1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750842902, enumerated as an "individual" on March 29, 2019.
The provider is located at 1653 W CONGRESS PKWY CHICAGO, IL 60612 and the phone number is (312) 947-0029.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to verify.
Jordan Johnson is affiliated with: HCA FLORIDA MERCY HOSPITAL.