Individual provider Active NPI

Jordyn Dennelle Johnson, DO

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1609518091
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
V9029 Issued in TX
Practice address
820 South Wood Street Suite 100
MC 675
Chicago, IL 60612
Phone
(312) 996-2933
NPI assigned
Apr 7, 2022
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125.081016 IL
Emergency Medicine Physician 207P00000X V9029 TX Primary

Addresses

Primary practice location

820 South Wood Street Suite 100
MC 675
Chicago, IL 60612

Mailing address

820 South Wood Street Suite 100
MC 675
Chicago, IL 60612
Phone (312) 996-2933

Other practice location 1

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2626

Other practice location 2

1102 Bates Ave # Fc1450
Houston, TX 77030-2617
Phone (832) 828-3660

Other names 1

  • Jordyn Dennelle Mayerhofer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20250623000081 TX Practitioner - Emergency Medicine 1557742012 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians
Texas Childrens Physician GroupGroup PAC ID 4385722081, 661 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone (832) 534-5000

6651 Main St
Houston, TX 77030-2351
Phone (832) 826-3000

7200 Cambridge St
FL 10
Houston, TX 77030-4202
Phone (713) 798-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Aug 1, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Aug 1, 2025 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2025 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Texas Children's Physician Group CurrentSince Jun 12, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2025 Accepting new patients
St. Luke's Community Health Services Past Accepting new patients

Locations

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

1102 Bates Ave
#1450
Houston, TX 77030

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

20171 Chasewood Park Dr
#H
Houston, TX 77070
Phone (832) 534-5000

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: jjohnson136366@uihealth.direct-ci.com
  • Direct secure messaging: jjohnson167336@direct.luhs.org
  • Direct secure messaging: jjohnson453360@direct.stlukeshealth.org

Organizations & group practices 8

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.

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1609518091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SOUTH WOOD STREET SUITE 100",
            "address_2": "MC 675",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-996-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SOUTH WOOD STREET SUITE 100",
            "address_2": "MC 675",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-996-2933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Taub Loop",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301608",
            "country_code": "US",
            "telephone_number": "713-873-2626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Bates Ave # Fc1450",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302617",
            "country_code": "US",
            "telephone_number": "832-828-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JORDYN",
        "middle_name": "DENNELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125.081016",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V9029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDYN",
            "last_name": "MAYERHOFER",
            "middle_name": "DENNELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.