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

Dr. Samuel K Appavu, MD

Individual provider Surgery Physician · NPI 1346243169

Dr. Samuel K Appavu, MD is a Surgery Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
Specialties on file
4
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

2300 N Rockton Ave Ste 304
Rockford, IL 61103-3619
Phone: (815) 964-3333
Fax: (815) 964-3134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036048085 (IL)
Legal Medicine Taxonomy 173000000X · Licence 036048085 (IL)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 036048085 (IL)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 036048085 (IL)

Record details

NPI number1346243169
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2005
Last updated in NPPESMarch 2, 2011
Mailing addressPo Box 15730, Loves Park, IL 61132-5730

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