Individual provider Active NPI

Veronica Renee Johnson, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1033536412
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036153380 Issued in IL
Practice address
259 E Erie St Ste 2150
Chicago, IL 60611-3370
Phone
(312) 926-3627
Fax
(312) 926-3858
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R7491 TX
Internal Medicine Physician 207R00000X 036153380 IL Primary

Addresses

Primary practice location

259 E Erie St Ste 2150
Chicago, IL 60611-3370

Mailing address

259 E Erie St Ste 2150
Chicago, IL 60611-3370
Phone (312) 926-3627

Other practice location 1

1430 Tulane Ave
SL-50
New Orleans, LA 70112-2632
Phone (504) 988-1332

Other practice location 2

6700 West Loop S Ste 500
Bellaire, TX 77401
Phone (713) 892-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180911001353 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5092094425 Reassigns benefits to 1 organization
I20201119001382 IL Practitioner - Internal Medicine 5092094425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

259 E Erie St
Suite 2150
Chicago, IL 60611-3370

680 N Lake Shire Dr
Suite 1000
Chicago, IL 60611-8709

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R7491TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2018 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 1, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 1, 2021 Accepting new patients
Central Dupage Physician Group Internal Medicine Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

259 E Erie St
Fl 16
Chicago, IL 60611
Phone (312) 629-2620

259 E Erie St
Ste 2150
Chicago, IL 60611
Phone (312) 926-5111

259 E Erie St
Chicago, IL 60611

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

6700 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 791-9966

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1033536412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST STE 2150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113370",
            "telephone_number": "312-926-3627",
            "fax_number": "312-926-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST STE 2150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113370",
            "telephone_number": "312-926-3627",
            "fax_number": "312-926-3858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Tulane Ave",
            "address_2": "SL-50",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122632",
            "country_code": "US",
            "telephone_number": "504-988-1332",
            "fax_number": "504-988-3971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6700 West Loop S Ste 500",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "77401",
            "country_code": "US",
            "telephone_number": "713-892-5500",
            "fax_number": "713-871-0081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VERONICA",
        "middle_name": "RENEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R7491",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036153380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.