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BHASKER RAO KOPPULA M.D
NPI 1417033267
Radiology - Diagnostic Radiology in Mchenry, IL

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
87.57/100
CMS Quality Rating
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050(815) 334-5566(815) 759-4008 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2021, Nov 17, 2015 (2 updates tracked since 2015).

About Bhasker Rao Koppula M.d NPPES

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

BHASKER RAO KOPPULA M.D (NPI 1417033267) is an individual diagnostic radiology provider in Mchenry, Illinois, licensed in Illinois (036166661) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417033267
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBHASKER RAO KOPPULACredential: M.D
Location Address4201 W MEDICAL CENTER DRMchenry, IL 60050-8409
Mailing AddressDepartment Of Radiology University Of Utah, 30 North 1900 East, #1a071Salt Lake City, UT 84132-2140 · (801) 581-7553
Phone(815) 334-5566
Fax(815) 759-4008
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 30, 20242 updates tracked since enumeration
NPPES CertifiedAugust 30, 2024
✔ NPI 1417033267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in IL · 036166661✔ Licensed in WA · MD60120325✔ Licensed in UT · 7682213-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedNuclear MedicineTaxonomy 207U00000X · License 7682213-1205 (UT)
4201 W MEDICAL CENTER DR, Mchenry, IL 60050
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Department Of Radiology University Of Utah, 30 North 1900 East, #1A071Salt Lake City, UT 84132-2140 · Phone (801) 581-7553
Location 21304 Fawcett Ave Ste 100Tacoma, WA 98402-1900 · Phone (253) 761-4200

Other Identifiers 2

Other339350Internal Id-motor Vehicle Id
Medicaid8443277WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska, UnitedHealthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bhasker Rao Koppula 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 ID1658391586
PECOS Enrollment IDI20101118001413, I20240306002795
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Bhasker Rao Koppula reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group
128 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Texas enrollment
  • 25 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Broadlawns Medical Center
280 mi
General Acute Care Hospital
1801 HICKMAN RD
Des Moines, IA 50314
  • Reassigned Medicare billing, Iowa enrollment
  • 518 clinicians in this Medicare group
NPI 1467447508 (515) 282-2200
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
1,700 mi
Radiology
1304 FAWCETT AVE STE 100
Tacoma, WA 98402
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1083802946 (253) 761-4200
Union Avenue Open Mri LLC
1,702 mi
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1568531242 (253) 761-4200
Tra-Minw P S
1,702 mi
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1396814166 (253) 761-4200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.
172 services172 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.
136 services133 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.
25 services25 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.
25 services24 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
22 services22 patients
Nuclear medicine study of bone and/or joint whole body 78306
A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140052
LocationSt Anthony's WayAlton, IL 62002 · Madison County

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle 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.

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.

87.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.1
Improvement Activities40
Cost58.78

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 Bhasker Rao Koppula's NPI number?

The NPI number for Bhasker Rao Koppula is 1417033267. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Bhasker Rao Koppula located?

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

What is Bhasker Rao Koppula's specialty?

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

Is Bhasker Rao Koppula enrolled in Medicare?

Yes. Bhasker Rao Koppula 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.

Which organizations bill Medicare for Bhasker Rao Koppula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bhasker Rao Koppula reassigns Medicare benefits to 5 organizations: Osf Multi-Specialty Group (Peoria, IL), Broadlawns Medical Center (Des Moines, IA), Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance (Tacoma, WA), Union Avenue Open Mri LLC (Tacoma, WA) and Tra-Minw P S (Tacoma, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bhasker Rao Koppula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bhasker Rao Koppula accept?

Health plans from Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Bhasker Rao Koppula 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 Bhasker Rao Koppula affiliated with any hospitals?

According to CMS data, Bhasker Rao Koppula is affiliated with Osf Saint Anthony's Health Center and Osf Saint Elizabeth Mdl Ctr.

When was this NPI record last updated?

The NPPES record for Bhasker Rao Koppula was last updated on August 30, 2024. 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.