Active NPI
Madeline Johnson, MD
- Student in an Organized Health Care Education/Training Program
- Kansas City, MO
National Provider Identifier
1144808411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2301 Holmes St
Kansas City, MO 64108-2677 - Phone
- (816) 404-1000
- NPI assigned
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X | 036178143 | IL |
Addresses
Primary practice location
2301 Holmes St
Kansas City, MO 64108-2677
Mailing address
619 E Armour Blvd Apt 108
Kansas City, MO 64109-2464
Phone (636) 544-2740
Other practice location 1
250 E Superior St Ste 4-2305
Chicago, IL 60611-2914
Phone (312) 695-5753
Other names 1
- Madeline Jing Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
250 E Superior St
Suite 4 2305
Chicago, IL 60611-2914
5777 Dept
Carol Stream, IL 60122-0021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036178143 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Past | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- mjohnson378843@direct.saint-lukes.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
Diagnostic Radiology
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1144808411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 E ARMOUR BLVD APT 108",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641092464",
"telephone_number": "636-544-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082677",
"telephone_number": "816-404-1000"
}
],
"practiceLocations": [
{
"address_1": "250 E Superior St Ste 4-2305",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112914",
"country_code": "US",
"telephone_number": "312-695-5753",
"fax_number": "312-695-5753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MADELINE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036178143",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADELINE",
"last_name": "JOHNSON",
"middle_name": "JING",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.