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SOPHIA KIMBERLY FANARA M.S. CCC-SLP
NPI 1619780889
Speech-Language Pathologist in Rockford, IL

Active since January 30, 2025
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 971-7000 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sophia Kimberly Fanara M.s. Ccc-slp NPPES

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

SOPHIA KIMBERLY FANARA M.S. CCC-SLP (NPI 1619780889) is an individual speech-language pathologist provider in Rockford, Illinois, licensed in Illinois (146018176) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1619780889
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSOPHIA KIMBERLY FANARACredential: M.S. CCC-SLP
Location Address8201 E RIVERSIDE BLVDRockford, IL 61114-2300
Mailing Address149 Titleist TrlPoplar Grove, IL 61065-7808 · (815) 980-6216
Phone(815) 971-7000
Sole ProprietorNo
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1619780889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IL · 146018176
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
8201 E RIVERSIDE BLVD, Rockford, IL 61114
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Kimberly Fanara M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Sophia Fanara reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockford Health Physicians
Same address
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428
Mercy Health System Corporation
25 mi
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Illinois enrollment
  • 671 clinicians in this Medicare group
NPI 1598718603 (608) 741-7630

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

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. BHARGAV DESAI M.D.
Neurological Surgery
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
DR. ALIX VINCENT MD
Radiology (Neuroradiology)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
ERIN MARGARET OZMINKOWSKI
Internal Medicine
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-6364
LAURA MADLINGER LEWIS OTD. OTR/L, CNT
Occupational Therapist
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
STEPHANIE YEAGER APN
Internal Medicine (Hospice and Palliative Medicine)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-5000
CAMERON JOSEPH SMITH PHARMD
Pharmacist
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
KARL E. MAGSAMEN M.D.
Radiology (Vascular & Interventional Radiology)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
CHRISTINE NA-EUN MILLAR MD
Anesthesiology
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000

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 Sophia Fanara's NPI number?

The NPI number for Sophia Fanara is 1619780889. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Sophia Fanara located?

Sophia Fanara practices at 8201 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 971-7000.

What is Sophia Fanara's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Sophia Fanara enrolled in Medicare?

Yes. Sophia Fanara is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sophia Fanara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Fanara reassigns Medicare benefits to 2 organizations: Rockford Health Physicians (Rockford, IL) and Mercy Health System Corporation (Janesville, WI). 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 Sophia Fanara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Fanara accept?

Health plans from MercyCare and MercyCare Health Plans list Sophia Fanara 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.

When was this NPI record last updated?

The NPPES record for Sophia Fanara was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.