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RADHIKA KOSARAJU MD NPI 1114945144


NPI Information

NPI: 1114945144
Provider Name: RADHIKA KOSARAJU, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1404 E STATE ST
ROCKFORD, IL
ZIP 61104
Phone: (815) 967-5476
Get Directions

Radhika Kosaraju, MD is an internal medicine in Rockford, IL with 23 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Radhika Kosaraju, MD NPI is 1114945144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1404 E STATE ST
ROCKFORD, IL
ZIP 61104-335
Phone: (815) 967-5476

The NPI 1114945144 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 12/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine53725-020WISCONSINNo
2207R00000XInternal Medicine5301083282MICHIGANNo
3208M00000XHospitalist53725-020WISCONSINNo
4207R00000XInternal Medicine036118570ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110B561250OTHERMICHIGANCOMMUNITY BLUE
2110B561250OTHERMICHIGANBLUECROSS BLUE SHIELD OF
3036118570-5MEDICAIDILLINOIS
4110B561250OTHERMICHIGANBLUE CARE NETWORK
5110B561250OTHERMICHIGANBLUE CHOICE
601003173OTHERMICHIGANHEALTH PLUS
701003173OTHERMICHIGANGENESEE HEALTH PLAN
817573OTHERMICHIGANMCARE
94855305MEDICAIDMICHIGAN
101020379OTHERMICHIGANMHP HAN
11CA5169 P00357911OTHERMICHIGANMETRAHEALTH

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.