Individual provider Active NPI

Tabassum Y Nafsi, MD

  • Pulmonary Disease Physician
  • Rockford, IL
National Provider Identifier
1396931069
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036-124710 Issued in IL
Practice address
1401 E State St
Rockford, IL 61104
Phone
(779) 696-6102
NPI assigned
Sep 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT189741 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 36.124214 OH
Pulmonary Disease Physician 207RP1001X 36.124214 OH
Pulmonary Disease Physician 207RP1001X 036-124710 IL Primary

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 practice location 1

1710 N Randall Rd Ste 260
Elgin, IL 60123-9402
Phone (847) 931-7900

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address tnafsimd915269@direct.uwhealth.org
Direct Messaging Address tnafsi313942@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131017001683 IL Practitioner - Internal Medicine 3577797901 Reassigns benefits to 4 organizations
I20220413002346 WI Practitioner - Pulmonary Disease 3577797901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beloit Health System IncGroup PAC ID 8224947858, 138 clinicians

Practice addresses (Care Compare)

1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 364-2200

6078 Palo Verde Dr
Suite 4
Rockford, IL 61114-8117
Phone (815) 566-7781

Hospital & facility affiliations

  • Beloit Health System Hospital, Beloit, WI, CCN 520100
  • Uw Health Hospital, Rockford, IL, CCN 140228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT189741PAMDInternal Medicine Physician
036-124710ILMDPulmonary Disease Physician
36.124214OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CGH Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Oct 5, 2022 Accepting new patients
Swedishamerican Hospital Internal Medicine Current Accepting new patients
CGH Medical Center Current Accepting new patients
Swedishamerican Hospital CurrentSince Jun 1, 2017 Accepting new patients
Rockford Pulmonary Clinic Pulmonary Disease CurrentSince Jul 22, 2023 Accepting new patients
Beloit Health System Inc Internal Medicine Current Accepting new patients
Beloit Health System, Inc CurrentSince Jul 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Beloit Clinic, S.C. Internal Medicine Current Accepting new patients
Beloit Health System, Inc Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
CGH Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Beloit Health System, Inc Past Accepting new patients

Locations

27750 W Il Route 22
Ste 110
Barrington, IL 60010
Phone (847) 381-4491

450 W Il Route 22
Ste Aip
Barrington, IL 60010
Phone (708) 283-5500

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

28592 Network Pl
Chicago, IL 60673

29373 Network Pl
Chicago, IL 60673

1710 N Randall Rd
Ste 260
Elgin, IL 60123
Phone (847) 931-7900

4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

6078 Palo Verde Dr
Ste 4
Rockford, IL 61114
Phone (815) 566-7781

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

Interoperability endpoints

  • Direct secure messaging: tnafsimd915269@direct.uwhealth.org
  • Direct secure messaging: tabassum.nafsi@574501472174084.direct.elationemr.com
  • Direct secure messaging: khipke1234596@direct.uwhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1396931069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78866",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532788866",
            "telephone_number": "779-696-7150",
            "fax_number": "779-696-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61104",
            "telephone_number": "779-696-6102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 N Randall Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601239402",
            "country_code": "US",
            "telephone_number": "847-931-7900",
            "fax_number": "847-931-1562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAFSI",
        "first_name": "TABASSUM",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT189741",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "36.124214",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "36.124214",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036-124710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnafsimd915269@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1401 E State St",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnafsi313942@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1710 N Randall Rd Ste 260",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601239402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1710 N Randall Rd Ste 260",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601239402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.