Active NPI
Christopher Ryan Johnson, M.D.
- Vascular & Interventional Radiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036.140315
- Practice address
- 5841 S Maryland Ave
Department of Radiology
Chicago, IL 60637-1447 - Phone
- (773) 702-6161
- NPI assigned
- Jul 18, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 036.140315 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5841 S Maryland Ave
Department of Radiology
Chicago, IL 60637-1447
Mailing address
180 Harvester Dr
Suite 110
Burr Ridge, IL 60527-7594
Phone (773) 702-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Rush Medical College of Rush University, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 938-3571
6311 S Pointe Blvd
Suite 600
Fort Myers, FL 33919-4901
Phone (239) 938-3500
Hospital & facility affiliations
- Lee Memorial Hospital
- Gulf Coast Medical Center Lee Health
- Cape Coral Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.5 of 100
- Quality
- 80
- Improvement activities
- 20
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.94 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.140315 | IL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Florida Radiology Consultants P a | Vascular & Interventional Radiology | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Sunshine Radiology Contracting LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Florida Radiology Leasing LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
Locations
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
636 Del Prado Blvd S
Ste 4
Cape Coral, FL 33990
Phone (239) 424-2318
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
6311 S Pointe Blvd
Ste 600
Fort Myers, FL 33919
Phone (239) 343-9150
8192 College Pkwy
Ste 6
Fort Myers, FL 33919
Phone (239) 481-8022
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1518911668
Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1518907823
Vascular & Interventional Radiology
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Critical Access Hospital
- Gooding, ID
- NPI 1609046671
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1578423406
Vascular & Interventional Radiology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1407298599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 HARVESTER DR",
"address_2": "SUITE 110",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605277594",
"telephone_number": "773-702-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "773-702-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHRISTOPHER",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-18",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036.140315",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.