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VITHIDA SUEBLINVONG MD
NPI 1134193121
Pediatrics - Pediatric Cardiology in Chicago, IL

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
840 S WOOD ST, M/C 856, CHICAGO, IL 60612(312) 996-6605(312) 413-3373 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vithida Sueblinvong Md NPPES

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

VITHIDA SUEBLINVONG MD (NPI 1134193121) is an individual pediatric cardiology provider in Chicago, Illinois, licensed in Illinois (36099389) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1134193121
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameVITHIDA SUEBLINVONGCredential: MD
Location Address840 S WOOD ST, M/C 856Chicago, IL 60612-4325
Mailing Address840 S Wood St, M/c 856Chicago, IL 60612-4325 · (312) 996-6605 · Fax (312) 413-3373
Phone(312) 996-6605
Fax(312) 413-3373
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 15, 2006
Last NPPES UpdateDecember 7, 2011
✔ NPI 1134193121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in IL · 36099389
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
840 S WOOD ST, Chicago, IL 60612
Open in Google Maps ↗

Other Identifiers 5

Medicaid36099389IL
Medicare UPINH70615
Medicare ID-Type Unspecified036099389IL
MedicaidK09585IL
Medicare ID-Type Unspecified200200420IN

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

Vithida Sueblinvong Md 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 ID7416925094
PECOS Enrollment IDI20040921001131
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

DR. KYLE CORSO MORK PHARMD, MBA
Pharmacist (Ambulatory Care)
840 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-6783
DR. ALEXANDER SALIM GEHA MD
Surgery
840 S WOOD ST, SUITE 417 CSB
CHICAGO, IL 60612
Cook County (312) 996-5402
DR. KAREN STEINMETZ PATER PHARMD, BCPS, CDE
Pharmacist (Pharmacotherapy)
840 S WOOD ST, SUITE 163, CSB
CHICAGO, IL 60612
Cook County (312) 996-0870
MISS SHIYUN KIM PHARMD
Pharmacist (Pharmacotherapy)
840 S WOOD ST, SUITE 163 CLINICAL SCIENCES BUILDING
CHICAGO, IL 60612
Cook County (312) 996-5025
OANA CRISTINA DANCIU M.D.
Internal Medicine (Hematology & Oncology)
840 S WOOD ST, MC-713
CHICAGO, IL 60612
Cook County (312) 996-1581
DR. MARY BIGLIN MD
Internal Medicine (Gastroenterology)
840 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-6651
ALICIA CHANG COJULUN MD
Student in an Organized Health Care Education/Training Program
840 S WOOD ST, MC 856
CHICAGO, IL 60612
Cook County (708) 691-0426
ABDUL KHAYYAM MOHAMMED MD
Pathology (Anatomic Pathology)
840 S WOOD ST
CHICAGO, IL 60612
Cook County (331) 300-9864

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 Vithida Sueblinvong's NPI number?

The NPI number for Vithida Sueblinvong is 1134193121. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Vithida Sueblinvong located?

Vithida Sueblinvong practices at 840 S Wood St M/C 856, Chicago, IL 60612. The listed phone number is (312) 996-6605.

What is Vithida Sueblinvong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Vithida Sueblinvong enrolled in Medicare?

Yes. Vithida Sueblinvong 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.

When was this NPI record last updated?

The NPPES record for Vithida Sueblinvong was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.