SURAJ BOPANNA MD, MRCP – NPI #1740433291
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

SURAJ BOPANNA is a physician located in ROCKFORD, IL. NPPES has assigned the NPI number 1740433291 to SURAJ BOPANNA on October 28, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was previously updated about 2 years ago on Mar 04, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SURAJ BOPANNA below.

NPI Profile for
SURAJ BOPANNA

NPI Number
1740433291
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SURAJ BOPANNA
Credentials
MD, MRCP
Primary location
1401 E STATE ST
ROCKFORD, IL 61104
Phone: (779) 696-6102 Fax:
Mailing address
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone: (779) 696-7150 Fax: (779) 696-7342
Sole Proprietor
No
Updated
Certification Date
Mar 04, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SURAJ BOPANNA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI100181898
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)		 IA 40265
207RC0200X
- Internal Medicine / Critical Care Medicine		 IA 40265
207R00000X
- Internal Medicine		 IA 40265

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2845 GREENBRIER RD,
GREEN BAY, WI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1401 E STATE ST,
ROCKFORD, IL 77025-1669
Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2845 GREENBRIER RD,
GREEN BAY, WI 77025-1669

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SURAJ BOPANNA is affiliated with the following medical group(s):
  • HOSPITAL
    • CGH MEDICAL CENTER
      100 EAST LEFEVRE ROAD
      STERLING, IL 61081
    • MORRISON COMMUNITY HOSPITAL
      303 N JACKSON STREET
      MORRISON, IL 61270
    • OSF SACRED HEART MEDICAL CENTER
      812 N LOGAN AVE
      DANVILLE, IL 61832
    • ST VINCENT HOSPITAL
      835 S VAN BUREN ST
      GREEN BAY, WI 54301
    • SWEDISH AMERICAN HOSPITAL
      1401 EAST STATE STREET
      ROCKFORD, IL 61104

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.