Johnson Jide Ojo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.03789 Issued in IL

Practice address

9907 S Perry Ave
Chicago, IL 60628-1347

Phone

(773) 603-3442

NPI assigned

Oct 16, 2024

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MD @ Home Illinois, SCGroup PAC ID 7810167830, 53 clinicians

Southside Primary Care Group SCGroup PAC ID 4587952650, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare of Chicago Home health agency, Alsip, IL, CCN 147182
• Medpro Health Providers Home health agency, Tinley Park, IL, CCN 148246
• MHN My Home Nurses Home health agency, Chicago, IL, CCN 148379
• Accentcare Home Health of Illinois Home health agency, Lombard, IL, CCN 147811
• First Venture Home Health Care, Inc Home health agency, Arlington Heights, IL, CCN 148264

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnson.ojo.1@3342.direct.athenahealth.com

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

• MD @ Home Illinois, SC

  dba Housecall Physicians of Illinois, SC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1568758415
  Medicare reassignment Care Compare group NPD
• Southside Primary Care Group SC

  dba Metro Medical Associates

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1417403072
  Medicare reassignment Care Compare group NPD
• MHN Infusions Group LLC

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1174380885
  Medicare reassignment NPD
• Rajiv Kandala M D S C

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1114094281
  NPD (past)

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

• First Venture Home Healthcare, Inc.

  • Home Health Agency
  • Chicago, IL
  • NPI 1295967560
  Care Compare affiliation
• Health Resources Solutions Inc

  dba AccentCare Home Health of Illinois

  • Home Health Agency
  • Lombard, IL
  • NPI 1528094109
  Care Compare affiliation
• Medpro Health Providers LLC

  • Home Health Agency
  • Tinley Park, IL
  • NPI 1073820049
  Care Compare affiliation
• My Home Nurses LLC

  • Home Health Agency
  • Chicago, IL
  • NPI 1104332733
  Care Compare affiliation
• PSG Services, LLC

  dba DBA Interim Healthcare

  • Home Health Agency
  • Alsip, IL
  • NPI 1598725103
  Care Compare affiliation

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1194545921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9907 S PERRY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281347",
            "telephone_number": "773-603-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9907 S PERRY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281347",
            "telephone_number": "773-603-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJO",
        "first_name": "JOHNSON",
        "middle_name": "JIDE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.03789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pius Ehiremen Ojemolon, MD
• Garima Ojha, MBBS
• Udoka Oji, MD
• Ndidiamaka Ojiako
• Ayotomiwa Ojo, MD, MPP
• Oluwagbenga Afiamoye Ojo
• Adepeju Ojomalade
• Somtochukwu Grant Ojukwu, PA-C
• Stanley E. Ojukwu, DMD
• Yudai Okabe, MD

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.

Verify at the official NPI Registry.