Nicole Ruth Johnson, MD - Medicare Pediatrics in Oak Lawn, IL

Nicole Ruth Johnson, MD is a medicare enrolled "Pediatrics - Child Abuse Pediatrics" physician in Oak Lawn, Illinois. Her current practice location is 4440 W 95th St Ste 1200h, Oak Lawn, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 684-5341.

Nicole Ruth Johnson is licensed to practice in Illinois (license number 036-137797) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427311745.

Contact Information

Nicole Ruth Johnson, MD
4440 W 95th St Ste 1200h,
Oak Lawn, IL 60453-2600
(708) 684-5341
Not Available

Map and Direction




Physician's Profile

Full NameNicole Ruth Johnson
GenderFemale
SpecialityPediatrics - Child Abuse Pediatrics
Location4440 W 95th St Ste 1200h, Oak Lawn, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427311745
  • Provider Enumeration Date: 06/21/2012
  • Last Update Date: 04/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860724317
  • Enrollment ID: I20230202002687

Medical Identifiers

Medical identifiers for Nicole Ruth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427311745NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125061008 (Illinois)Secondary
2080C0008XPediatrics - Child Abuse Pediatrics 036-137797 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Ruth Johnson allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameHennepin Healthcare System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138136
PECOS PAC ID: 4789684861
Enrollment ID: O20070207000467
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Ruth Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Ruth Johnson, MD
29373 Network Pl,
Chicago, IL 60673-1293

Ph: () -
Nicole Ruth Johnson, MD
4440 W 95th St Ste 1200h,
Oak Lawn, IL 60453-2600

Ph: (708) 684-5341

Reviews and Comments


Pediatrics Doctors in Oak Lawn, IL

Dr. Saad Ahmed Siddiqui, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-5580    
Karla Katherine Wehrheim,
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 4440 West 95th Street, Pediatric Cardiology, Oak Lawn, IL 60453
Phone: 708-648-5580    Fax: 708-684-4068
Dr. Alexander James Javois, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-5580    Fax: 708-684-4068
Dr. Naveen Imran, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-5580    Fax: 708-684-4068
Ms. Samrita Sawhney, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4220 W 95th St, Oak Lawn, IL 60453
Phone: 312-949-4200    Fax: 708-423-1899
Daniella Nana Owusuwaah, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4220 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-5341    
Dr. Verlainna Cathleen-shaw Callentine, M.D., M.ED.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-4007    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.