Samyukta Koppula, MD - Medicare Allergy/immunology in Willowbrook, IL

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Samyukta Koppula, MD is a medicare enrolled "Allergy & Immunology" physician in Willowbrook, Illinois. She graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Allergy/immunology. Her current practice location is 6857 Kingery Hwy, Willowbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 323-8800.

Samyukta Koppula is licensed to practice in Illinois (license number 00303660782441) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770641763.

Contact Information

Samyukta Koppula, MD
6857 Kingery Hwy,
Willowbrook, IL 60527-5114
(630) 323-8800
(630) 850-9797

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Physician's Profile

Full NameSamyukta Koppula
GenderFemale
SpecialityAllergy/immunology
Experience42 Years
Location6857 Kingery Hwy, Willowbrook, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samyukta Koppula graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1770641763
  • Provider Enumeration Date: 12/04/2006
  • Last Update Date: 09/30/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7618073867
  • Enrollment ID: I20070503000545

Medical Identifiers

Medical identifiers for Samyukta Koppula such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770641763NPI-NPPES
003-036-078244-1OtherILSTATE OF IL LICENCE
2233164OtherILBCBS OF ILLINOIS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207K00000XAllergy & Immunology 00303660782441 (Illinois)Primary

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. Samyukta Koppula allows following entities to bill medicare on her behalf.
Entity NamePrana Center For Asthma And Allergy Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821211491
PECOS PAC ID: 9234235482
Enrollment ID: O20070503000554

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. Samyukta 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
Samyukta Koppula, MD
6857 Kingery Hwy,
Willowbrook, IL 60527-5114

Ph: (630) 323-8800		Samyukta Koppula, MD
6857 Kingery Hwy,
Willowbrook, IL 60527-5114

Ph: (630) 323-8800

Reviews and Comments


Allergy & Immunology Doctors in Willowbrook, IL


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.