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

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  • 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
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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)
1390200000XStudent, 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

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 patients

Emergency department visit for problem of high severity

An 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 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

A 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 patients

Physician 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 HOSPITAL3663 S MIAMI AVE
MIAMI, FL 33133
(305) 854-4400Acute Care Hospitals

Reviews for JORDAN THOMAS JOHNSON DO

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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.
1750842902
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100164490
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 = 22

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

(312) 942-3646

DR. KOUSIKI PATRA MD

Pediatrics

(Neonatal-Perinatal Medicine)

1653 W CONGRESS PKWY
MURDOCK 622
CHICAGO, IL
ZIP 60612

(312) 942-6640

DR. KALLIOPI SIZIOPIKOU MD

Pathology

(Anatomic Pathology & Clinical Pathology)

1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612

(312) 942-5700

DR. ALEXANDER C TEMPLETON MD

Pathology

(Anatomic Pathology & Clinical Pathology)

1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612

(312) 942-5700

DR. ABBAS ZARIF MD

Specialist

1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612

(312) 942-5700

DR. MARILYN MAY HALLOCK M.D.

Emergency Medicine

1653 W CONGRESS PKWY
177 MURDOCK
CHICAGO, IL
ZIP 60612

(312) 942-6909

GALETA CAROLYN CLAYTON M.D.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

DINO PETER RUMORO D.O.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

YANINA PURIM SHEM TOV M.D.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

RAHUL G PATWARI M.D.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

EDWARD WARD M.D.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

JULIO C SILVA M.D.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

JOSEPH JULIUS BRAWKA M.D.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

JEFFREY L GRASSLE M.D.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

PAULA OLDEG M.D.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

JANE E KRAMER M.D.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

RUSH UNIVERSITY MEDICAL CENTER

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

ANDREAS SKOUBIS D.O.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

BRUCE C MCLEOD MD

Specialist

1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612

(312) 942-5254

KAMENO BELL M.D.

Emergency Medicine

1653 W CONGRESS PKWY
SUITE 177
CHICAGO, IL
ZIP 60612

(312) 942-8149

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.