Fabiolla Siqueira Kopp, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

Q5683 Issued in TX

Practice address

30 N Michigan Ave Ste 506
Chicago, IL 60602-3837

Phone

(773) 312-4423

Fax

(773) 312-4522

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

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

Physical Medicine and Rehabilitation

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Illinois Medical Services NFPGroup PAC ID 3678677390, 331 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rush University Medical Center Hospital, Chicago, IL, CCN 140119
• Rush Specialty Hospital, LLC Inpatient rehabilitation facility, Chicago, IL, CCN 14TA15
• Herrin Hospital Inpatient rehabilitation facility, Herrin, IL, CCN 14T011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southern Illinois Medical Services, NFP

  • Internal Medicine Physician
  • Carbondale, IL
  • NPI 1770656837

  IL

  Medicare reassignment Care Compare group NPD
• Wellness by Physiatry, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1255123584

  IL, Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official
• Schwab Faculty Associates Inc

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1902859861

  IL, Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Southern Illinois Medical Services, NFP

  • Rural Health Clinic/Center
  • Carbondale, IL
  • NPI 1154510808
  Care Compare group
• Southern Illinois Medical Services, NFP

  • Rural Health Clinic/Center
  • West Frankfort, IL
  • NPI 1215204938
  Care Compare group
• Southern Illinois Medical Services, NFP

  • Rural Health Clinic/Center
  • Herrin, IL
  • NPI 1477820900
  Care Compare group
• Southern Illinois Medical Services, NFP

  • Rural Health Clinic/Center
  • Anna, IL
  • NPI 1538689062
  Care Compare group
• Southern Illinois Medical Services, NFP

  • Rural Health Clinic/Center
  • Harrisburg, IL
  • NPI 1750705364
  Care Compare group
• Southern Illinois Medical Services, NFP

  • Rural Health Clinic/Center
  • Benton, IL
  • NPI 1780985135
  Care Compare group
• Southern Illinois Medical Services, NFP

  • Rural Health Clinic/Center
  • Murphysboro, IL
  • NPI 1992032809
  Care Compare group
• Physical Therapy Renaissance LTD

  • Physical Therapist
  • Chicago, IL
  • NPI 1790886307
  NPD

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

• Rush Specialty Hospital, LLC

  • Long Term Care Hospital
  • Chicago, IL
  • NPI 1316711096

  Inpatient rehabilitation facility

  Care Compare affiliation
• Rush Specialty Hospital, LLC

  • Rehabilitation Hospital Unit
  • Chicago, IL
  • NPI 1992570402

  Inpatient rehabilitation facility

  Care Compare affiliation
• Rush University Medical Center

  • Children's Hospital
  • Chicago, IL
  • NPI 1801908728

  Hospital

  Care Compare affiliation
• Rush University Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1932213600

  Hospital

  Care Compare affiliation
• Southern Illinois Hospital Services

  • Rehabilitation Hospital Unit
  • Herrin, IL
  • NPI 1225122047

  Inpatient rehabilitation facility

  Care Compare affiliation
• Southern Illinois Hospital Services

  • General Acute Care Hospital
  • Herrin, IL
  • NPI 1528158573

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1336388586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023837",
            "telephone_number": "773-312-4423",
            "fax_number": "773-312-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023837",
            "telephone_number": "773-312-4423",
            "fax_number": "773-312-4522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Moursund St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303405",
            "country_code": "US",
            "telephone_number": "713-797-5991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011467",
            "country_code": "US",
            "telephone_number": "618-549-0721",
            "fax_number": "618-351-4846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483631",
            "country_code": "US",
            "telephone_number": "618-942-2171",
            "fax_number": "618-351-4846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Murphysboro",
            "state": "IL",
            "postal_code": "629663333",
            "country_code": "US",
            "telephone_number": "618-684-3156",
            "fax_number": "618-351-4846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPP",
        "first_name": "FABIOLLA",
        "middle_name": "SIQUEIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036147419",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q5683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fkopp86091@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "405 W Jackson St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fkopp86091@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2 S Hospital Dr",
            "city": "Murphysboro",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629663333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fkopp86091@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "201 S 14th St",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason John Kopinski, PHARMD
• Kimberly Kopka
• Jona Koplow, LCSW
• Jake Koplowitz
• April Kopp, LCSW
• Mollie A Kopp
• Peter Kopp, M.D.
• Rita Marie Kopp, DPT
• Christine Koppe, LCSW
• Sean W.P. Koppe, M.D.

• All providers in Chicago, IL
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.