NPIMap

Individual provider Active NPI

Lisa L Johnson, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Oak Lawn, IL
National Provider Identifier
1629069919
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
036119477 Issued in IL
Practice address
5851 W 95TH St
Suite 300
Oak Lawn, IL 60453-2362
Phone
(708) 499-9800
Fax
(708) 499-6203
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 036119477 IL
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 036119477 IL Primary

Addresses

Primary practice location

5851 W 95TH St
Suite 300
Oak Lawn, IL 60453-2362

Mailing address

5851 W 95TH St
Suite 300
Oak Lawn, IL 60453-2362
Phone (708) 499-9800

Other names 1

  • Dr. Lisa C Labin Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ljohnson254798@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000588 IL Practitioner - Obstetrics/Gynecology 3274507983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Massachusetts Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Health Institute of Illinois LTDGroup PAC ID 2860659463, 5 clinicians

Practice addresses (Care Compare)

10762 W 167TH St
Orland Park, IL 60467-5434
Phone (708) 499-9800

2425 W 22ND St
Suite 210
Oak Brook, IL 60523-4656
Phone (708) 499-9800

5851 W 95TH St
Suite 300
Oak Lawn, IL 60453-2415
Phone (708) 499-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.2 of 100Reported as group
Quality
71.39
Improvement activities
40
Cost
75.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036119477ILMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Oct 2, 2007 Accepting new patients
Womens Health Institute of Illinois LTD Gynecology CurrentSince Oct 1, 2015 Accepting new patients
Womens Health Institute of Illinois LTD Gynecology CurrentSince Oct 1, 2015 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 2, 2007 Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

6800 Main St
Ste 214
Downers Grove, IL 60516
Phone (630) 852-8451

2425 W 22nd St
Ste 210
Oak Brook, IL 60523
Phone (708) 499-9800

5851 W 95th St
Ste 300
Oak Lawn, IL 60453
Phone (708) 499-9800

10762 W 167th St
Orland Park, IL 60467
Phone (708) 499-9800

Interoperability endpoints

  • Direct secure messaging: ljohnson254798@direct.myadvocateaurora.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1629069919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST",
            "address_2": "SUITE 300",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532362",
            "telephone_number": "708-499-9800",
            "fax_number": "708-499-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST",
            "address_2": "SUITE 300",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532362",
            "telephone_number": "708-499-9800",
            "fax_number": "708-499-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036119477",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IL",
            "license": "036119477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ljohnson254798@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5851 W 95th St",
            "address_2": "Suite 300",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5851 W 95th St",
            "address_2": "Suite 300",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LABIN",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.