Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Divya Mani, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881188217

Divya Mani, MD is a Family Practice in Rockford, Illinois. Qualified in 2018, 8 years ago. Practices with South Sound Inpatient Physicians PLLC, a 427-clinician group and accepts Medicare assignment. Licensed in Illinois and Washington.

Years since qualifying
8
Licensed in
IL, WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1221 E State St
Rockford, IL 61104-2231
Phone: (815) 972-1000
Fax: (815) 972-1091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61180970 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125-073178 (IL)

Record details

NPI number1881188217
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2018
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address1221 E State St, Rockford, IL 61104-2231

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice South Sound Inpatient Physicians Pllc — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rockford