THOMAS W. KUPFERER D.O. NPI 1184829996

NPI Information

  • NPI: 1184829996
  • Provider Name: THOMAS W. KUPFERER, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: DESOTO FAMILY MEDICINE
  • Address: 407 S CHESTNUT ST
    DE SOTO, IL
    ZIP 62924
  • Phone: (618) 867-2703

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NPI Details

THOMAS W. KUPFERER, D.O. is a family medicine in De Soto, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THOMAS W. KUPFERER, D.O. NPI is 1184829996. The provider is registered as an organization entity type.
The provider Is Doing Business As Desoto Family Medicine.

The provider's business location address is:

407 S CHESTNUT ST
DE SOTO, IL
ZIP 62924-400
Phone: (618) 867-2703
Fax: (618) 867-2353

The provider's authorized official is Janet L Austin .
The authorized official title is Office Manager and has the following contact phone number (618) 687-2353.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 10/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health036066913ILLINOISNo
2207Q00000XFamily Medicine036099723ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1580570MEDICARE PINILLINOIS
2=========001MEDICAIDILLINOIS
3C45819MEDICARE UPINILLINOIS
4039-00152OTHERILLINOISBCBS
5143890OTHERILLINOISMEDICARE RURAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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