RADHIKA KOSARAJU MD
NPI 1114945144
Internal Medicine in Rockford, IL
About Radhika Kosaraju Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RADHIKA KOSARAJU MD (NPI 1114945144) is an individual internal medicine provider in Rockford, Illinois, licensed in Illinois (036118570) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 11
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Radhika Kosaraju Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Radhika Kosaraju's NPI number?
The NPI number for Radhika Kosaraju is 1114945144. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Radhika Kosaraju located?
Radhika Kosaraju practices at 1404 E State St, Rockford, IL 61104. The listed phone number is (815) 967-5476.
What is Radhika Kosaraju's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Radhika Kosaraju enrolled in Medicare?
Yes. Radhika Kosaraju is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Radhika Kosaraju was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Radhika Kosaraju, MD · NPI 1114945144
Internal Medicine physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1114945144 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 036118570 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1404 E STATE ST, Rockford, IL 61104-2335
- **Phone:** (815) 967-5476
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** December 17, 2021
- **Other identifiers:** Other 110B561250 (MI); Other 110B561250 (MI); Medicaid 036118570-5 (IL); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1114945144) · Data from the CMS NPPES public registry.