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

Q: 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.

Q: What is Suwon Nopachai's specialty?

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

Q: 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 13 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.

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: October 25, 2026.

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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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Suwon Nopachai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rush University Medical Center

0.2 mi

Diagnostic Radiology

1620 W HARRISON ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Rush University Medical Group
2,169 clinicians in this Medicare group

NPI 1184269425 (312) 563-4270

Rush Medical Group

0.2 mi

Internal Medicine

1620 W HARRISON ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
548 clinicians in this Medicare group

NPI 1467312850 (312) 942-5000

Rush Oak Park Physicians Group Elmwood Park

8.1 mi

Family Medicine

7734 W NORTH AVE
Elmwood Park, IL 60707

Reassigned Medicare billing, Illinois enrollment
9 clinicians in this Medicare group

NPI 1326318627 (708) 456-6611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Suwon Nopachai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suwon Nopachai reassigns Medicare benefits to 3 organizations: Rush University Medical Center (Chicago, IL), Rush Medical Group (Chicago, IL) and Rush Oak Park Physicians Group Elmwood Park (Elmwood Park, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suwon Nopachai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suwon Nopachai accept?

Health plans from Ambetter Health and Ambetter Health of Delaware 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 13 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.