Evan Dean Johnson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036.121856 Issued in IL

Practice address

3310 W. Main Street
Suite 115
St. Charles, IL 60175-4220

Phone

(630) 232-2885

Fax

(630) 232-9936

NPI assigned

Sep 17, 2008

Last updated

Apr 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lawrence L. Johnson, M.D., S.C.Group PAC ID 1254435175, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211

Merit-based Incentive Payment System (MIPS)

Final score

84.78 of 100Reported as group

Quality

65

Improvement activities

40

Cost

95.94

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lawrence L. Johnson, M.D., S.C.

  • Dermatology Physician
  • Geneva, IL
  • NPI 1376629626
  Medicare reassignment Care Compare group NPD

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

• Delnor Community Hospital

  dba Northwestern Medicine Delnor Community Hospital

  • General Acute Care Hospital
  • Geneva, IL
  • NPI 1407859655
  Care Compare affiliation

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1407005218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 W. MAIN STREET",
            "address_2": "SUITE 115",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "601754220",
            "telephone_number": "630-232-2885",
            "fax_number": "630-232-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W. MAIN STREET",
            "address_2": "SUITE 115",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "601754220",
            "telephone_number": "630-232-2885",
            "fax_number": "630-232-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EVAN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.121856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britt Johnson-Dunlop, RBT-18-60264
• Brittany Selina Johnson
• Brooke N Johnson, PA-C
• Courtney Johnson
• Elliot Paul Johnson, PA-C
• Gregory Johnson, M.S., CCC-SLP
• Katie Lynne Johnson, DC, LAC
• Kelsey Teresa Johnson
• Lawrence L Johnson, M.D.
• Madison Johnson, RBT

• Dermatology Physician in St Charles, IL
• Providers in St Charles, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.