Individual provider Active NPI

Suraj Bopanna, MD, MRCP

  • Pulmonary Disease Physician
  • Rockford, IL
National Provider Identifier
1740433291
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036-126456 Issued in IL
Practice address
1401 E State St
Rockford, IL 61104
Phone
(779) 696-6102
NPI assigned
Oct 28, 2008
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 1261-320 WI
Pulmonary Disease Physician 207RP1001X 036-126456 IL Primary
Pulmonary Disease Physician 207RP1001X 40265 IA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 40265 IA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036-126456 IL
Internal Medicine Physician 207R00000X 40265 IA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 1261-320 WI

Addresses

Primary practice location

1401 E State St
Rockford, IL 61104

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address sbopanna328180@ewd.direct.hshs.org Direct St Vincent Hospital-Hospital Sisters-Third Order of St Francis
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2
Direct Messaging Address sbopanna359568@direct.myadvocateaurora.org Direct
Direct Messaging Address sbopannamd915145@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130718000095 IA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 9436390325 Reassigns benefits to 1 organization
I20161005000384 IL Practitioner - Pulmonary Disease 9436390325 Reassigns benefits to 8 organizations
I20211012003134 WI Practitioner - Pulmonary Disease 9436390325 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians
Morrison Community Hospital DistrictGroup PAC ID 2466349907, shared by 6 NPIs, 40 clinicians

Practice addresses (Care Compare)

13250 Washington Ave
Mount Pleasant, WI 53177-1516
Phone (262) 884-4000

1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400

303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-126456ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Nov 12, 2023 Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Morrison Community Hospital District Current Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Oct 1, 2021 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Oct 1, 2021 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Internal Medicine Current Accepting new patients
Swedishamerican Hospital CurrentSince Nov 1, 2016 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Swedishamerican Hospital CurrentSince Nov 1, 2016 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Freeport Memorial Hospital CurrentSince Jul 1, 2018 Accepting new patients
CGH Medical Center CurrentSince Jan 9, 2023 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Critical Care Physicians of Illinois LLC Critical Care Medicine CurrentSince Dec 14, 2022 Accepting new patients
CGH Medical Center CurrentSince Jan 9, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Mercy Medical Center Current Accepting new patients
Morrison Community Hospital District CurrentSince Sep 13, 2022 Accepting new patients
Morrison Community Hospital District CurrentSince Sep 13, 2022 Accepting new patients
CGH Medical Center Current Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Swedishamerican Hospital Internal Medicine Current Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

788 8th Ave SE
Ste 200
Cedar Rapids, IA 52401
Phone (319) 221-8788

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

800 N Logan Ave
Ste 204
Danville, IL 61832
Phone (217) 431-4080

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

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

2300 N Rockton Ave
Rockford, IL 61103

2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285

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

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

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

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

13250 Washington Ave
Mount Pleasant, WI 53177
Phone (262) 799-8330

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Interoperability endpoints

  • Direct secure messaging: kgannonloew29183@direct.uwhealth.org
  • Direct secure messaging: sbopanna359568@direct.myadvocateaurora.org
  • Direct secure messaging: sbopannamd915145@direct.uwhealth.org
  • Direct secure messaging: surajbopanna@mchospital.medalliesdirect.net

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

Hospital & facility affiliations 5

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1740433291",
    "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": [],
    "basic": {
        "last_name": "BOPANNA",
        "first_name": "SURAJ",
        "name_prefix": "Mr.",
        "credential": "MD, MRCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "1261-320",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036-126456",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IA",
            "license": "40265",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IA",
            "license": "40265",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036-126456",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "40265",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "1261-320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbopanna328180@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "835 S Van Buren St",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543013526",
            "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": "2845 Greenbrier Rd",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543116519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbopanna359568@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2845 Greenbrier Rd",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543116519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbopannamd915145@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"
        }
    ],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.