TABASSUM Y NAFSI MD
NPI 1396931069
Internal Medicine - Pulmonary Disease in Rockford, IL

Q: What is Tabassum Nafsi's NPI number?

The NPI number for Tabassum Nafsi is 1396931069. It was assigned to this individual provider in the NPPES registry on September 17, 2007.

Q: What is Tabassum Nafsi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Tabassum Nafsi was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 17, 2007PECOS EnrolledAccepts Medicare Assignment

1401 E STATE ST, ROCKFORD, IL 61104(779) 696-6102 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2023, Mar 2, 2021, Jul 27, 2018 and 1 more (4 updates tracked since 2017).

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About Tabassum Y Nafsi Md NPPES

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

TABASSUM Y NAFSI MD (NPI 1396931069) is an individual pulmonary disease provider in Rockford, Illinois, licensed in Illinois (036-124710) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and maintains a secondary practice location in Elgin.

NPPES Registry Identity

NPI1396931069

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameTABASSUM Y NAFSICredential: MD

Location Address1401 E STATE STRockford, IL 61104

Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150 · Fax (779) 696-7342

Phone(779) 696-6102

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateSeptember 17, 2007

Last NPPES UpdateMarch 1, 20234 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1396931069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in IL · 036-124710✔ Licensed in OH · 36.124214

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT189741 (PA)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 36.124214 (OH)

1401 E STATE ST, Rockford, IL 61104

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Secondary Practice Location 1

Location 11710 N Randall Rd Ste 260Elgin, IL 60123-9402 · Phone (847) 931-7900 · Fax (847) 931-1562

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan and more.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

Tabassum Y Nafsi 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 ID3577797901

PECOS Enrollment IDI20131017001683, I20220413002346

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 Tabassum Nafsi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedishamerican Hospital

Same address

Pulmonary Disease

1401 E STATE ST
Rockford, IL 61104

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

NPI 1326193061 (815) 961-2030

Rockford Pulmonary Clinic

6.4 mi

Pulmonary Disease

6078 PALO VERDE DR STE 4
Rockford, IL 61114

Reassigned Medicare billing, Illinois enrollment

NPI 1679267710 (815) 566-7781

Beloit Health System, Inc

18 mi

Internal Medicine

1650 LEE LN
Beloit, WI 53511

Reassigned Medicare billing, Wisconsin enrollment
194 clinicians in this Medicare group

NPI 1912199340 (608) 364-4666

Cgh Medical Center

44 mi

Family Medicine

101 E MILLER RD
Sterling, IL 61081

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

NPI 1548540636 (815) 625-4790

Advocate Health And Hospitals Corporation

65 mi

Cardiovascular Disease

3825 HIGHLAND AVE, TOWER 2 SUITE 400
Downers Grove, IL 60515

Reassigned Medicare billing, Illinois enrollment
4,870 clinicians in this Medicare group

NPI 1285903849 (630) 719-4799

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 9

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

203 services81 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

124 services33 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

48 services47 patients

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.

40 services29 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

35 services20 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

27 services21 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

Beloit Health System

Acute Care Hospitals · Beloit, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520100

Location1969 W Hart RdBeloit, WI 53511 · Rock 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 25

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

6 suppliers40 claims40 services$36.64 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers23 claims45 services$1.54 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

4 suppliers14 claims14 services$15.76 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers14 claims14 services$93.37 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers14 claims42 services$35.84 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers14 claims79 services$15.83 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

5 suppliers25 claims25 services$46.79 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers23 claims23 services$15.90 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers40 claims236 services$2.10 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers22 claims22 services$11.70 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers53 claims53 services$15.20 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers35 claims35 services$914.10 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

1 supplier12 claims12 services$814.01 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers13 claims13 services$12.12 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers95 claims95 services$5.16 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers24 claims24 services$35.40 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers189 claims189 services$83.19 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers93 claims93 services$29.36 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers28 claims1,680 services$4.93 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier13 claims780 services$6.69 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

10 suppliers80 claims13,332 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers17 claims1,950 services$0.06 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

6 suppliers53 claims3,585 services$0.79 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier14 claims73,500 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

10 suppliers111 claims111 services$23.51 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.

MRS. MANISHA AJIT PATEL DPT

Physical Therapist

1401 E STATE ST
ROCKFORD, IL 61104

Winnebago County (815) 489-4470

DR. THOMAS DANKO MD

Pediatrics

1401 E STATE ST
ROCKFORD, IL 61104

Winnebago County (779) 696-4400

SWEDISHAMERICAN HOSPITAL

Pharmacy (Community/Retail Pharmacy)

1401 E STATE ST
ROCKFORD, IL 61104

Winnebago County (815) 968-4400

RADIOLOGY CONSULTANTS OF ROCKFORD LTD

Radiology (Diagnostic Radiology)

1401 E STATE ST
ROCKFORD, IL 61104

Winnebago County (815) 489-4760

TIMOTHY A DEMING N.P.

Nurse Practitioner

1401 E STATE ST
ROCKFORD, IL 61104

Winnebago County (414) 290-6720

ELAINE M WINEBRENNER PT

Physical Therapist

1401 E STATE ST
ROCKFORD, IL 61104

Winnebago County (779) 696-7500

MARTIN BUTLER MD

Radiology (Diagnostic Radiology)

1401 E STATE ST
ROCKFORD, IL 61104

Winnebago County (888) 696-7820

HEATHER R FREY N.P.

Nurse Practitioner

1401 E STATE ST
ROCKFORD, IL 61104

Winnebago County (414) 290-6720

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 Tabassum Nafsi's NPI number?

The NPI number for Tabassum Nafsi is 1396931069. It was assigned to this individual provider in the NPPES registry on September 17, 2007.

Where is Tabassum Nafsi located?

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

What is Tabassum Nafsi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Tabassum Nafsi enrolled in Medicare?

Yes. Tabassum Nafsi 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 Tabassum Nafsi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabassum Nafsi reassigns Medicare benefits to 5 organizations: Swedishamerican Hospital (Rockford, IL), Rockford Pulmonary Clinic (Rockford, IL), Beloit Health System, Inc (Beloit, WI), Cgh Medical Center (Sterling, IL) and Advocate Health And Hospitals Corporation (Downers Grove, 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 Tabassum Nafsi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tabassum Nafsi accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Tabassum Nafsi 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 Tabassum Nafsi affiliated with any hospitals?

According to CMS data, Tabassum Nafsi is affiliated with Uw Health and Beloit Health System.

When was this NPI record last updated?

The NPPES record for Tabassum Nafsi was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.