Individual provider Active NPI

N'Djamina Angelika Robinson, MD, MPH

  • Family Medicine Physician
  • Coal City, IL
National Provider Identifier
1821416587
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036142099 Issued in IL
Practice address
5775 E State Route 113
Coal City, IL 60416-7111
Phone
(815) 634-0100
Fax
(815) 634-2900
NPI assigned
Mar 31, 2014
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036142099 IL Primary

Addresses

Primary practice location

5775 E State Route 113
Coal City, IL 60416-7111

Mailing address

5775 E State Route 113
Coal City, IL 60416-7111
Phone (815) 634-0100

Other practice location 1

1520 N Kostner Ave
Chicago, IL 60651-1610
Phone (312) 337-1073

Other identifiers 1

IdentifierTypeStateIssuer
036142099MedicaidIL

Other names 1

  • N'Djamina Angelika Johnson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nrobinson27420@Direct.riversidehealthcare.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170615002627 IL Practitioner - Family Practice 3779883509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians

Practice addresses (Care Compare)

5775 E State Route 113
Coal City, IL 60416-7111
Phone (815) 634-0100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System CurrentSince May 3, 2019 Accepting new patients
Riverside Health System CurrentSince May 3, 2019 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

5775 E State Route 113
Coal City, IL 60416
Phone (815) 634-0100

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

401 N Wall St
Ste 208
Kankakee, IL 60901
Phone (815) 935-1161

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Interoperability endpoints

  • Direct secure messaging: nrobinson27420@direct.riversidehealthcare.net

Organizations & group practices 3

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 2

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1821416587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 E STATE ROUTE 113",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604167111",
            "telephone_number": "815-634-0100",
            "fax_number": "815-634-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 E STATE ROUTE 113",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604167111",
            "telephone_number": "815-634-0100",
            "fax_number": "815-634-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 N Kostner Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606511610",
            "country_code": "US",
            "telephone_number": "312-337-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "N'DJAMINA",
        "middle_name": "ANGELIKA",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036142099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036142099",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nrobinson27420@Direct.riversidehealthcare.net",
            "affiliation": "N",
            "endpointDescription": "Direct, Secure address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5775 E State Route 113",
            "city": "Coal City",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604167111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "N'DJAMINA",
            "last_name": "JOHNSON",
            "middle_name": "ANGELIKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coal City, IL

Sources for this page

Verify at the official NPI Registry.