Kristina Ann Johnson, D.O.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

036135368 Issued in IL

Practice address

9760 S Kedzie Ave Ste 2
Evergreen Park, IL 60805-3182

Phone

(708) 423-8150

Fax

(708) 423-8152

NPI assigned

Jul 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family PracticeAlso: Sports Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Park Primary Care LTDGroup PAC ID 5698797256, 2 clinicians

Evergreen Care Center LTDGroup PAC ID 2163317124, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
• Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
• Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

Merit-based Incentive Payment System (MIPS)

Final score

92.31 of 100Reported as group

Quality

98.61

Promoting interoperability

100

Improvement activities

40

Cost

75.76

Merit-based Incentive Payment System (MIPS)

Final score

91.43 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

71.42

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristina.johnson.2@27901.direct.athenahealth.com

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.

• Evergreen Care Center LTD

  • General Practice Physician
  • Evergreen Park, IL
  • NPI 1447449616
  Medicare reassignment Care Compare group NPD
• Park Primary Care LTD

  • General Practice Physician
  • Evergreen Park, IL
  • NPI 1891984068
  Medicare reassignment Care Compare group NPD
• The Headache Lab

  • General Practice Physician
  • Evergreen Park, IL
  • NPI 1801782057
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Health and Hospitals Corporation

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Oak Lawn, IL
  • NPI 1548375082
  Care Compare affiliation
• Osf Healthcare System

  • General Acute Care Hospital
  • Evergreen Park, IL
  • NPI 1215572045
  Care Compare affiliation
• Palos Community Hospital

  • Psychiatric Hospital Unit
  • Palos Heights, IL
  • NPI 1184699118
  Care Compare affiliation
• Palos Community Hospital

  • General Acute Care Hospital
  • Palos Heights, IL
  • NPI 1851386692
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1841587334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9760 S KEDZIE AVE STE 2",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053182",
            "telephone_number": "708-423-8150",
            "fax_number": "708-423-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 S KEDZIE AVE STE 2",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053182",
            "telephone_number": "708-423-8150",
            "fax_number": "708-423-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTINA",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": "036135368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamal Jebreal
• Jefferson Diabetes Consultants, L.L.C.
• Alecia Jefferson, APRN, CDCES
• Meghan M Jennings, OTR/L
• John P Hanlon, MD, LLC
• Timothy Brian Johnson, D.O.
• Christopher James Johnston, DPT
• Carla Graciela Joiner, PT
• Donnika Lynn Jones-Hamlin, PT, DPT
• Laura Jones

• Sports Medicine (Family Medicine) Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Sports Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.

Verify at the official NPI Registry.