VIVEK THAPPA MD
NPI 1295743383
Internal Medicine - Sleep Medicine in Rockford, IL

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
1401 E STATE ST, ROCKFORD, IL 61104(779) 696-6102(779) 696-6026 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2021, Jul 23, 2018 (2 updates tracked since 2018).

About Vivek Thappa Md NPPES

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

VIVEK THAPPA MD (NPI 1295743383) is an individual sleep medicine provider in Rockford, Illinois, licensed in Illinois (036081657) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1295743383
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameVIVEK THAPPACredential: MD
Location Address1401 E STATE STRockford, IL 61104
Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150
Fax(779) 696-6026
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateAugust 4, 2006
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
NPI 1295743383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in IL · 036081657
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036081657 (IL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036081657 (IL)
1401 E STATE ST, Rockford, IL 61104

Other Identifiers 2

Medicaid036081657IL
Other101-04711IL · Blue Cross Blue Shield

Accepted 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

Vivek Thappa 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 ID2860441813
PECOS Enrollment IDI20050117000204
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 15

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 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.
135 services126 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
73 services68 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
71 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services27 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
46 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 28

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers498 claims498 services$36.75 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers195 claims195 services$90.43 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers188 claims522 services$35.24 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers240 claims1,351 services$19.66 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
15 suppliers171 claims925 services$14.59 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers424 claims424 services$56.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
1401 E STATE ST
ROCKFORD, IL 61104
Pediatrics
1401 E STATE ST
ROCKFORD, IL 61104
Pharmacy (Community/Retail Pharmacy)
1401 E STATE ST
ROCKFORD, IL 61104
Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Nurse Practitioner
1401 E STATE ST
ROCKFORD, IL 61104
Physical Therapist
1401 E STATE ST
ROCKFORD, IL 61104
Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Nurse Practitioner
1401 E STATE ST
ROCKFORD, IL 61104

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 Vivek Thappa's NPI number?

The NPI number for Vivek Thappa is 1295743383. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Vivek Thappa located?

Vivek Thappa practices at 1401 E State St, Rockford, IL 61104. The listed phone number is (779) 696-6102.

What is Vivek Thappa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Vivek Thappa enrolled in Medicare?

Yes. Vivek Thappa 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 Vivek Thappa accept?

Health plans from Aspirus Health Plan and Quartz list Vivek Thappa 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 Vivek Thappa affiliated with any hospitals?

According to CMS data, Vivek Thappa is affiliated with Uw Health and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Vivek Thappa was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.