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Dr. Jordan Alicia Johnstone , DO, MS

Pediatrics β€’ Oak Lawn, IL

Active NPI 1346709722 Individual Practitioner Female Practitioner
Practice location in NPPES

4440 W 95th St
Oak Lawn, IL 604532600

Call 7086845580 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4440 W 95th St

Oak Lawn, IL 604532600

Telephone 7086845580
Organization at the Same NPPES Address or Phone
Midwest Pediatric Cardiology, P.c. Facility NPI 1962483669

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Oak Lawn and Illinois

115 active clinicians are listed under Pediatrics with a practice address in Oak Lawn, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Oak Lawn

0% of these 115 clinicians have the CMS telehealth indicator.

4.3% of these 115 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CT 67892

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Pediatrics - Pediatric Cardiology

NUCC Taxonomy Code: 2080P0202X

License # reported to NPPES CT 67892

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Alexandria Barrett Hurh

Nurse Practitioner - Pediatrics

NPI 1487123790
Dr. Ibett Colina Garcia , MD

Internal Medicine - Adult Congenital Heart Disease

NPI 1508249723

Doctor of Medicine (M.D.)

Dr. Theodore Deitz , MD

Pediatrics - Pediatric Cardiology

NPI 1790361426

Doctor of Medicine (M.D.)

Jack Kamenske , MSN, RN, FNP-BC

Nurse Practitioner - Pediatrics

NPI 1669012837

Master of Science in Nursing, Registered Nurse, Family Nurse Practitioner (Board Certified)

Selena Kirkwood , NP

Nurse Practitioner - Family

NPI 1104286392

Nurse Practitioner

Dr. Stephen Neuberger , MD

Pediatrics - Pediatric Cardiology

NPI 1447268362

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location April 01, 2024

Registered at 4440 W 95TH ST, OAK LAWN, IL 604532600 (Tel: 7086845580)

πŸ“
Updated Practice Location March 29, 2021

Registered at 282 WASHINGTON ST, HARTFORD, CT 061063322 (Tel: 8605459000)

πŸ“
Updated Business Mailing Address March 29, 2021

Registered at 263 FARMINGTON AVE, FARMINGTON, CT 060301921 (Tel: 8606792147)

πŸ‘€
Provider Name / Credentials Updated March 29, 2021

Recorded as JORDAN JOHNSTONE, DO, MS

βœ…
NPI Profile Active March 15, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 15, 2019

Registered at 200 MULLINS DR, LEBANON, OR 973553983 (Tel: 5412590235)

πŸ“
Business Mailing Address (Initial Record) March 15, 2019

Registered at 200 MULLINS DR, LEBANON, OR 973553983

πŸ‘€
Provider Name / Credentials (Initial Record) March 15, 2019

Recorded as JORDAN JOHNSTONE, MS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 15, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346709722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2019
Last Update: April 01, 2024
Sole Proprietor: No

Mailing Address

263 Farmington Ave

Farmington, CT 060301921

Phone: 8606792147

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.