Individual provider Active NPI

Krister M Johansson, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1831136027
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036101307 Issued in IL
Practice address
5215 N California Ave
Suite 604
Chicago, IL 60625-7014
Phone
(773) 878-3627
Fax
(773) 293-8824
NPI assigned
May 31, 2006
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 036101307 IL
Family Medicine Physician 207Q00000X 036101307 IL Primary

Addresses

Primary practice location

5215 N California Ave
Suite 604
Chicago, IL 60625-7014

Mailing address

5215 N California Ave
Suite 604
Chicago, IL 60625-7014
Phone (773) 878-3627

Other identifiers 1

IdentifierTypeStateIssuer
036101307MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kjohansson277039@direct.northshore.org

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
I20050414001005 IL Practitioner - Family PracticePractitioner - Emergency Medicine 9830136472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

5215 N California Ave
Chicago, IL 60625-7014

6450 W Touhy Ave
Niles, IL 60714-4512

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Feb 15, 2023 Accepting new patients
Endeavor Health Medical Group Emergency Medicine Current Accepting new patients
Swedish Covenant Management Services, Inc. CurrentSince Sep 1, 2013 Accepting new patients
Swedish Covenant Hospital Current Accepting new patients
Swedish Covenant Management Services, Inc. Family Medicine Current Accepting new patients
Swedish Covenant Management Services, Inc Emergency Medicine CurrentSince Sep 1, 2013 Accepting new patients
Michael Plunkett, MDSC PastSince Nov 1, 2013 Accepting new patients
Presence Healthcare Services Family Medicine Past Accepting new patients

Locations

5140 N California Ave
Ste 405
Chicago, IL 60625
Phone (773) 275-5558

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

5215 N California Ave
Ste 604
Chicago, IL 60625
Phone (773) 878-3627

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

6450 W Touhy Ave
Niles, IL 60714
Phone (847) 583-1000

6450 W Touhy Ave
Fl 2
Niles, IL 60714
Phone (773) 293-4710

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1831136027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE",
            "address_2": "SUITE 604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257014",
            "telephone_number": "773-878-3627",
            "fax_number": "773-293-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE",
            "address_2": "SUITE 604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257014",
            "telephone_number": "773-878-3627",
            "fax_number": "773-293-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSSON",
        "first_name": "KRISTER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036101307",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036101307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101307",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjohansson277039@direct.northshore.org",
            "affiliation": "N",
            "address_1": "5215 N California Ave",
            "address_2": "Suite 604",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606257014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.