Bhasker Rao Koppula, M.D
NPI 1417033267ActiveIndividual· Radiology, Diagnostic Radiology· McHenry, IL
Radiology, Diagnostic Radiology (M.D) in McHenry, Illinois, licensed in IL, UT and WA, with an NPI issued in October 2006. Medicare paid $36,965 for services to 519 patients in 2024. Penumbra, Inc. reported $119.64 in payments in 2024, mostly food and beverage. Lists Osf Saint Anthony's Health Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1417033267 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Oct 27, 2006 |
| Last updated in NPPES | Aug 30, 2024 |
| Certified by provider | Aug 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 036166661 | IL |
| Nuclear Medicine | 207U00000X | 7682213-1205 | UT |
| Radiology, Diagnostic Radiology | 2085R0202X | MD60120325 | WA |
| Radiology, Diagnostic Radiology | 2085R0202X | 7682213-1205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (IA); Practitioner - Diagnostic Radiology (IL); Practitioner - Diagnostic Radiology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 519 |
|---|---|
| Services billed | 560 across 34 procedure codes |
| Paid by Medicare | $36,965 |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Nuclear Medicine |
Hospital affiliations
- Osf Saint Anthony's Health CenterAlton, IL
- Osf Saint Elizabeth Mdl CtrPeru, IL
Industry payments (Open Payments)
- 2024$119.64 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $119.64 | 1 |
What the 2024 payments were for
- Food and Beverage$119.64 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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