Active NPI
Whitney Johnson, DPM
- Foot & Ankle Surgery Podiatrist
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016006141
- Practice address
- 1253 N Alpine Rd
Rockford, IL 61107-2201 - Phone
- (779) 696-9201
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 916 | TN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016006141 | IL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC007050 | PA |
Addresses
Primary practice location
1253 N Alpine Rd
Rockford, IL 61107-2201
Mailing address
1253 N Alpine Rd
Rockford, IL 61107-2201
Phone (779) 696-9201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1253 N Alpine Rd
Sa Brookside Specialty Center
Rockford, IL 61107-2201
Phone (779) 696-9201
1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400
6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610
Hospital & facility affiliations
- Uw Health
- Tristar Centennial Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 86 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 279 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016006141 | IL | MD | Foot & Ankle Surgery Podiatrist |
| SC007050 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashville Family Foot Care, PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients |
Locations
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
1253 N Alpine Rd
Rockford, IL 61107
Phone (779) 696-9201
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
310 25th Ave N
Ste 204
Nashville, TN 37203
Phone (615) 327-2200
Interoperability endpoints
- whitney.johnson@ahp.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
-
- Foot & Ankle Surgery Podiatrist
- Nashville, TN
- NPI 1912100397
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Family Medicine Physician
- Belvidere, IL
- NPI 1417018110
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1700438264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1253 N ALPINE RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611072201",
"telephone_number": "779-696-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 N ALPINE RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611072201",
"telephone_number": "779-696-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WHITNEY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TN",
"license": "916",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016006141",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC007050",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.