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DR. SUWON VICKIE NOPACHAI M.D.
NPI 1104054063
Pediatrics in Chicago, IL

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
1645 W JACKSON BLVD, SUITE 215, CHICAGO, IL 60612(312) 942-8000 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Suwon Vickie Nopachai M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUWON VICKIE NOPACHAI M.D. (NPI 1104054063) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (125057164) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2009).

NPPES Registry Identity

NPI1104054063
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUWON VICKIE NOPACHAICredential: M.D.
Location Address1645 W JACKSON BLVD, SUITE 215Chicago, IL 60612-3276
Mailing Address1645 W Jackson Blvd, Suite 215Chicago, IL 60612-3276 · (312) 942-8000
Phone(312) 942-8000
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2009
Enumeration DateJune 30, 2009
Last NPPES UpdateOctober 8, 2013
✔ NPI 1104054063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 125057164
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125057164 (IL)
1645 W JACKSON BLVD, Chicago, IL 60612
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Suwon Vickie Nopachai M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860634060
PECOS Enrollment IDI20130819000566
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services51 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
30 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services23 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
24 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RENEE SLADE M.D.
Pediatrics
1645 W JACKSON BLVD, STE 200
CHICAGO, IL 60612
Cook County (312) 942-2200
DR. SHREYA KANABAR M.D.
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Cook County (312) 942-2200
MR. CHARLES FRANCIS SMALL III L.S.W.
Social Worker (Clinical)
1645 W JACKSON BLVD, SUITE 302
CHICAGO, IL 60612
Cook County (312) 942-8318
KAREN J LUI MD
Pediatrics
1645 W JACKSON BLVD, SUITE 200
CHICAGO, IL 60612
Cook County (312) 842-2200
NATALIA SALAZAR MD
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Cook County (312) 942-2200
LAURA ROGERS M.D.
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Cook County (312) 942-2200
DEPARTMENT OF PSYCHIATRY AT RUSH
Psychiatry & Neurology (Psychiatry)
1645 W JACKSON BLVD, SUITE 600
CHICAGO, IL 60612
Cook County (312) 942-2400
CARRIE LYN DRAZBA M.D.
Pediatrics
1645 W JACKSON BLVD, SUITE 200
CHICAGO, IL 60612
Cook County (312) 942-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suwon Nopachai's NPI number?

The NPI number for Suwon Nopachai is 1104054063. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Suwon Nopachai located?

Suwon Nopachai practices at 1645 W Jackson Blvd Suite 215, Chicago, IL 60612. The listed phone number is (312) 942-8000.

What is Suwon Nopachai's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Suwon Nopachai enrolled in Medicare?

Yes. Suwon Nopachai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Suwon Nopachai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Suwon Nopachai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Suwon Nopachai affiliated with any hospitals?

According to CMS data, Suwon Nopachai is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Suwon Nopachai was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.