Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bhasker Rao Koppula, MD

Individual provider Diagnostic Radiology Physician · NPI 1417033267

Bhasker Rao Koppula, MD is a Nuclear Medicine in McHenry, Illinois. Qualified in 2001, 25 years ago. Practices with American Radiology Consultants PLLC, a 120-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, Utah and Washington.

Years since qualifying
25
Licensed in
IL, UT, WA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone: (815) 334-5566
Fax: (815) 759-4008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Department Of Radiology University Of Utah, Salt Lake City, UT 84132-2140 — (801) 581-7553
  • 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 — (253) 761-4200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036166661 (IL)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 7682213-1205 (UT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60120325 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 7682213-1205 (UT)

Record details

NPI number1417033267
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNUCLEAR MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice American Radiology Consultants Pllc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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