Kevin Johnson, MD
NPI 1003221680 · Student in an Organized Health Care Education/Training Program · La Grange, IL
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Johnson, MD is a Student in an Organized Health Care Education/Training Program provider in La Grange, IL (NPI 1003221680).
Provider details
- NPI number
- 1003221680
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 125065696 (IL)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 125065696 (IL)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-06-23
- Last updated
- 2014-06-23
Frequently asked questions
- What is Kevin Johnson's NPI number?
- Kevin Johnson's National Provider Identifier (NPI) is 1003221680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Johnson's specialty?
- Kevin Johnson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Kevin Johnson located?
- Kevin Johnson's practice location on file with NPPES is 5101 Willow Springs Rd, La Grange, IL 60525-2600.
- What is Kevin Johnson's phone number?
- The practice phone number listed in the NPPES registry for Kevin Johnson is (708) 245-8900.
- Does Kevin Johnson accept Medicare?
- Kevin Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Johnson's NPI active?
- Yes — Kevin Johnson's NPI (1003221680) is active in the NPPES registry as of the last update on 2014-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.