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DR. PRASHANT JOLEPALEM M.D.
NPI 1174835003
Radiology - Diagnostic Radiology in Mchenry, IL

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050(815) 334-5566(815) 759-4008 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2023, Oct 31, 2023, Oct 22, 2023 and 4 more (7 updates tracked since 2018).

About Dr. Prashant Jolepalem M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRASHANT JOLEPALEM M.D. (NPI 1174835003) is an individual diagnostic radiology provider in Mchenry, Illinois, licensed in Illinois (036134688) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1174835003
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. PRASHANT JOLEPALEMCredential: M.D.
Location Address4201 W MEDICAL CENTER DRMchenry, IL 60050-8409
Mailing Address1001 Avenida Pico, Ste C #156San Clemente, CA 92673-8198 · (248) 762-0529
Phone(815) 334-5566
Fax(815) 759-4008
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 8, 2010
Last NPPES UpdateDecember 6, 20237 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1174835003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in IL · 036134688✔ Licensed in CA · A169326✔ Licensed in AZ · 56922✔ Licensed in NY · 275316
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedNuclear MedicineTaxonomy 207U00000X · License 56922 (AZ)
Also ListedNuclear Medicine · Nuclear Imaging & TherapyTaxonomy 207UN0902X · License 275316 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301096774 (MI)
4201 W MEDICAL CENTER DR, Mchenry, IL 60050
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Dr. Prashant Jolepalem M.d. 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.

PECOS PAC ID2860623360
PECOS Enrollment IDI20220715002348
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
299 services260 patients
Nuclear medicine study whole body with ct scan 78816
A Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.
53 services47 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
51 services47 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330049
Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County
Emergency services Birthing friendly

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330273
Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIGIN HEYDARI MD
Student in an Organized Health Care Education/Training Program
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
DR. KEILLA AMORIM SCHMIDT M.D.
Surgery (Surgical Critical Care)
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 759-4530
CENTEGRA CLINICAL LABORATORIES, LLC
Clinical Medical Laboratory
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 759-4800
DR. CORY EDWARD MELLON MD
Hospitalist
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 759-4323
SAAD AHMAD WARAICH M.D
Internal Medicine
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
SNEHA KUMAR
Internal Medicine
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
DR. SHAWN MARTEN FALITZ M.D.
Anesthesiology
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
ADRIENNE B MEJIA MD MPH
Anesthesiology
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000

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 Prashant Jolepalem's NPI number?

The NPI number for Prashant Jolepalem is 1174835003. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Prashant Jolepalem located?

Prashant Jolepalem practices at 4201 W Medical Center Dr, Mchenry, IL 60050. The listed phone number is (815) 334-5566.

What is Prashant Jolepalem's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Prashant Jolepalem enrolled in Medicare?

Yes. Prashant Jolepalem 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.

What insurance does Prashant Jolepalem accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross Blue Shield of Arizona, Molina Healthcare and UnitedHealthcare list Prashant Jolepalem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prashant Jolepalem affiliated with any hospitals?

According to CMS data, Prashant Jolepalem is affiliated with Saint Francis Medical Center, Saint James Hospital, Vassar Brothers Medical Center, Northern Dutchess Hospital and Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Prashant Jolepalem was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.