Bhasker Rao Koppula, MD - Medicare Nuclear Medicine in Mchenry, IL

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Bhasker Rao Koppula, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mchenry, Illinois. He went to University Of Washington School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Nuclear Medicine. He is a member of the group practice Maryland Imaging Network Pc, American Radiology Consultants Pllc, Tra-minw P S, Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance, American Radiology Consultants Pllc and his current practice location is 4201 W Medical Center Dr, Mchenry, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 334-5566.

Bhasker Rao Koppula is licensed to practice in Illinois (license number 036166661) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417033267.

Contact Information

Bhasker Rao Koppula, MD
4201 W Medical Center Dr,
Mchenry, IL 60050-8409
(815) 334-5566
(815) 759-4008

Map and Direction




Physician's Profile

Full NameBhasker Rao Koppula
GenderMale
SpecialityNuclear Medicine
Experience17 Years
Location4201 W Medical Center Dr, Mchenry, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bhasker Rao Koppula attended and graduated from University Of Washington School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1417033267
  • Provider Enumeration Date: 10/27/2006
  • Last Update Date: 08/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1658391586
  • Enrollment ID: I20101118001413

Medical Identifiers

Medical identifiers for Bhasker Rao Koppula such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417033267NPI-NPPES
339350OtherINTERNAL ID-MOTOR VEHICLE ID
8443277MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 036166661 (Illinois)Primary
207U00000XNuclear Medicine 7682213-1205 (Utah)Secondary
2085R0202XRadiology - Diagnostic Radiology MD60120325 (Washington)Secondary
2085R0202XRadiology - Diagnostic Radiology 7682213-1205 (Utah)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tacoma General Allenmore HospitalTacoma, WAHospital
Multicare Good Samaritan HospitalPuyallup, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maryland Imaging Network Pc610325930449
American Radiology Consultants Pllc6709868409107
Tra-minw P S2163316167127
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance337560397095
American Radiology Consultants Pllc6709868409107

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bhasker Rao Koppula allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683
Entity NameAmerican Radiology Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669425195
PECOS PAC ID: 6709868409
Enrollment ID: O20230731001545
Entity NameMaryland Imaging Network Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487296471
PECOS PAC ID: 6103259304
Enrollment ID: O20231212001964
Entity NameCentral Illinois Radiological Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538192828
PECOS PAC ID: 9436061827
Enrollment ID: O20240115001111

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bhasker Rao Koppula is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bhasker Rao Koppula, MD
Department Of Radiology University Of Utah, 30 North 1900 East, #1a071,
Salt Lake City, UT 84132-2140

Ph: (801) 581-7553		Bhasker Rao Koppula, MD
4201 W Medical Center Dr,
Mchenry, IL 60050-8409

Ph: (815) 334-5566

Reviews and Comments


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Ernest A Conti, MD
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Dr. Aaron Wittenberg, M.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.