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RAJA RAM POLUDASU M.D. NPI 1578682464


NPI Information

NPI: 1578682464
Provider Name: RAJA RAM POLUDASU, M.D.
Classification: Nuclear Medicine - 207UN0902X
Entity Type: Individual

Specialization: Nuclear Imaging & Therapy

PECOS Registration: Yes

Address:
1420 RENAISSANCE DR STE 307
PARK RIDGE, IL
ZIP 60068
Phone: (847) 803-1000
Get Directions

Raja Ram Poludasu, M.D. is a nuclear imaging and therapy nuclear medicine in Park Ridge, IL with 41 years of experience. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. Raja Ram Poludasu, M.D. NPI is 1578682464. 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:

1420 RENAISSANCE DR STE 307
PARK RIDGE, IL
ZIP 60068-343
Phone: (847) 803-1000
Fax: (847) 803-1098

The NPI 1578682464 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.

  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • Nuclear medicine study with ct imaging whole body (HCPCS:78816)

The enumeration date for this NPI number is 3/29/2007 and was last updated on 12/30/2021.


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
1207UN0902XNuclear MedicineNuclear Imaging & TherapyP53187NEW YORKYes

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.