Vivek Thappa, MD
Individual provider Active NPI Sleep Medicine (Internal Medicine) Physician · Rockford, IL
NPI 1295743383 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1295743383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sleep Medicine (Internal Medicine) Physician 207RS0012X
- License
- 036081657 (IL)
- Practice address
- 1401 E State St
Rockford, IL 61104 - Phone
- (779) 696-6102
- Fax
- (779) 696-6026
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Swedishamerican Hospital
Practice addresses (Care Compare)
1340 Charles St
Rockford, IL 61104-2200
1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400
1625 S State St
Belvidere, IL 61008-5907
2404 Charles St
Rockford, IL 61108-1602
Phone (779) 696-7910
6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610
815 Marchesano Dr
Rockford, IL 61102-3521
Phone (779) 696-5950
Hospital & facility affiliations
- Uw Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050117000204 | IL | Practitioner - Pulmonary Disease |
2860441813 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036081657 | IL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Pulmonary Disease | Current | Accepting new patients |
| Rockford Health Physicians | Current |
Accepting new patients | |
| Swedishamerican Hospital | Current |
Accepting new patients | |
| Swedishamerican Hospital | Current |
Accepting new patients | |
| Featherstone Clinic, S.C. | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
698 Featherstone Rd
Rockford, IL 61107
Phone (815) 398-3277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 036081657 | IL | Yes |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036081657 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036081657 | IL |
Addresses
Primary practice location
1401 E State St
Rockford, IL 61104
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036081657 | Medicaid | IL | |
| 101-04711 | Other | IL | BLUE CROSS BLUE SHIELD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vthappa780248@direct.uwhealth.org |
Other providers in Rockford, IL
- Angela Tess
- Sumeet K. Tewani
- Nishant B Thakar
- Neal K Thakrar
- Nirandone Thammarath
- The Arc of Winnebago, Boone and Ogle Counties
- The Attachment Group
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois
All providers in Rockford, IL · Sleep Medicine (Internal Medicine) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.