BHASKER RAO KOPPULA M.D NPI 1417033267

NPI Information

  • NPI: 1417033267
  • Provider Name: BHASKER RAO KOPPULA, M.D
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4201 W MEDICAL CENTER DR
    MCHENRY, IL
    ZIP 60050
  • Phone: (815) 334-5566

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NPI Details

Bhasker Rao Koppula, M.D is a diagnostic radiology radiology in Mchenry, IL with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Bhasker Rao Koppula, M.D NPI is 1417033267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4201 W MEDICAL CENTER DR
MCHENRY, IL
ZIP 60050-409
Phone: (815) 334-5566
Fax: (815) 759-4008

The NPI 1417033267 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Nuclear medicine study, 1 area with spect and concurrent ct scan (HCPCS:78830)
  • Nuclear medicine study of lung ventilation and circulation (HCPCS:78582)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Nuclear medicine study, 1 area with spect (HCPCS:78803)
  • Nuclear medicine study of lymphatic system (HCPCS:78195)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Nuclear medicine study of kidney, blood, flow, and function with drug administration (HCPCS:78708)

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/30/2024.

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
12085R0202XRadiologyDiagnostic Radiology036166661ILLINOISYes
2207U00000XNuclear Medicine7682213-1205UTAHNo
32085R0202XRadiologyDiagnostic RadiologyMD60120325WASHINGTONNo
42085R0202XRadiologyDiagnostic Radiology7682213-1205UTAHNo

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
1339350OTHERINTERNAL ID-MOTOR VEHICLE ID
28443277MEDICAIDWASHINGTON

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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