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SAMYUKTA KOPPULA M.D.
NPI 1770641763
Allergy & Immunology in Willowbrook, IL

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
6857 KINGERY HWY, WILLOWBROOK, IL 60527(630) 323-8800(630) 850-9797 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samyukta Koppula M.d. NPPES

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

SAMYUKTA KOPPULA M.D. (NPI 1770641763) is an individual allergy & immunology provider in Willowbrook, Illinois, licensed in Illinois (00303660782441) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1770641763
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameSAMYUKTA KOPPULACredential: M.D.
Location Address6857 KINGERY HWYWillowbrook, IL 60527-5114
Mailing Address6857 Kingery HwyWillowbrook, IL 60527-5114 · (630) 323-8800 · Fax (630) 850-9797
Phone(630) 323-8800
Fax(630) 850-9797
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateDecember 4, 2006
Last NPPES UpdateSeptember 30, 2013
✔ NPI 1770641763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in IL · 00303660782441
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
6857 KINGERY HWY, Willowbrook, IL 60527
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Other Identifiers 4

Other003-036-078244-1IL · State Of Il Licence
Medicare PINP00650478IL
Other2233164IL · Bcbs Of Illinois
Medicare PINK37017IL

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

Samyukta 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 ID7618073867
PECOS Enrollment IDI20070503000545
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 7

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.

Injection, omalizumab, 5 mg J2357
Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.
4,052 services17 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
538 services11 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
375 services16 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
334 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
266 services48 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
160 services18 patients

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 Samyukta Koppula's NPI number?

The NPI number for Samyukta Koppula is 1770641763. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Samyukta Koppula located?

Samyukta Koppula practices at 6857 Kingery Hwy, Willowbrook, IL 60527. The listed phone number is (630) 323-8800.

What is Samyukta Koppula's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Samyukta Koppula enrolled in Medicare?

Yes. Samyukta 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.

When was this NPI record last updated?

The NPPES record for Samyukta Koppula was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.