RAJASHREE KOPPOLU C.P.N.P
NPI 1609086651
Nurse Practitioner - Pediatrics in Palo Alto, CA

Q: What is Rajashree Koppolu's NPI number?

The NPI number for Rajashree Koppolu is 1609086651. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Rajashree Koppolu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Rajashree Koppolu was last updated on August 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 22, 2007PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Rajashree Koppolu C.p.n.p NPPES

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

RAJASHREE KOPPOLU C.P.N.P (NPI 1609086651) is an individual pediatrics provider in Palo Alto, California, licensed in California (15247) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609086651

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameRAJASHREE KOPPOLUCredential: C.P.N.P

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateMay 22, 2007

Last NPPES UpdateAugust 8, 2016

✔ NPI 1609086651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 15247

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 604243 (CA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 15247 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rajashree Koppolu C.p.n.p is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

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.

STANFORD HOSPITAL AND CLINICS

Pediatrics (Pediatric Cardiology)