CHRISTOPHER LARS JOHNSRUDE (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1336144401

CHRISTOPHER LARS JOHNSRUDE (MD) is a healthcare provider. based in Chicago, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 37041 (KY). The NPI Number for CHRISTOPHER LARS JOHNSRUDE (MD) is 1336144401

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER LARS JOHNSRUDE (MD)
NPI
1336144401
Phone
(502) 588-9490
Address
PO BOX 776879
Enumeration Date
16 June 2005
Deactivation Date
30 January 2022
Reactivation Date
10 February 2022
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Secondary Phone
5025880850
Graduation Year
1988 (38 years ago)
PAC ID
3173705779
Group Practice PAC ID
3779917596
Professional Enrollment ID
I20110302000936
Address ID
KY402021713LO411XXSTXX400

Contacts

Secure Messaging
cjohnsrude45666@direct.nortonhealthcare.org
FHIR Endpoint
https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

490 CARDIOVASCULAR DISEASE (CARDIOLOGY) in KY

Loading map...

Provider Addresses for CHRISTOPHER LARS JOHNSRUDE (MD)

  • Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States

    CHICAGO, IL 606776879

    Phone: (502) 588-9490

    Fax: (502) 272-5116

    Type: Mailing

  • East Chestnut Street, Louisville, Jefferson County, Kentucky, 40204, United States

    LOUISVILLE, KY 402021713

    Phone: (502) 588-7450

    Fax: (502) 588-7728

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $7,854.

Total Amount is formed as General ($7,854) + Research ($0) + Ownership ($0) = $7,854.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($7,650).

Total Amount

$7,854

General + Research + Ownership

Payments

16

Total payment records

General Amount

$7,854

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110302000936ICardiovascular Disease (Cardiology)KYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days2012$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1612$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779917596View full group profile
NameSpecialtyState
-IL
-KY
Cardiovascular Disease (Cardiology)IL
-KY
-KY
O B S T E T R I C S/ G Y N E C O L O G YKY
Diagnostic RadiologyIL
Pediatric MedicineIL
Endocrinology, Internal Medicine, Pediatric MedicineKY
Nurse PractitionerIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is CHRISTOPHER LARS JOHNSRUDE (MD) identified in CMS data?
CMS-hosted NPPES data lists CHRISTOPHER LARS JOHNSRUDE (MD) with NPI 1336144401.
Is CHRISTOPHER LARS JOHNSRUDE (MD) still practicing?
CHRISTOPHER LARS JOHNSRUDE (MD) is currently listed as active in the public NPI registry.
What healthcare role does CHRISTOPHER LARS JOHNSRUDE (MD) hold?
Scheduling teams often label CHRISTOPHER LARS JOHNSRUDE (MD) under Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for CHRISTOPHER LARS JOHNSRUDE (MD)?
CHRISTOPHER LARS JOHNSRUDE (MD)'s geographic hint is Chicago, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

DR. JUSTIN T MAO (MD)

Clinical Cardiac Electrophysiology Physician
PO BOX 1567
NPI: 1427052273

ERICA D ENGELSTEIN (M.D.)

Clinical Cardiac Electrophysiology Physician
West Talcott Avenue, Norwood Park, Chicago, Jefferson Township, Cook County, Illinois, 60631, United States
NPI: 1093712481

HEART RHYTHM SPECIALISTS, S.C.

Clinical Cardiac Electrophysiology Physician
7447, West Talcott Avenue, Norwood Park, Chicago, Jefferson Township, Cook County, Illinois, 60631, United States
NPI: 1760489041

DR. BASSAM HABBAL (MD,FACC,FCCP)

Interventional Cardiology Physician
5009, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
NPI: 1427041243

DR. JOSHUA DAVID MOSS (M.D.)

Clinical Cardiac Electrophysiology Physician
5758 S Maryland Ave
NPI: 1235129073

DR. MICHAEL JAY SPRINGER (MD)

Clinical Cardiac Electrophysiology Physician
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
NPI: 1346224284

RISHI ARORA (MD)

Clinical Cardiac Electrophysiology Physician
680 North Lake Shore Drive, 680, North Lake Shore Drive, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States
NPI: 1134199367

PETER A BRADY (M.D.)

Clinical Cardiac Electrophysiology Physician
3134 N CLARK ST
NPI: 1215901301

JASBIR SINGH SRA (MD)

Clinical Cardiac Electrophysiology Physician
PO BOX 735044
NPI: 1760459309