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

Dr. Prashant Jolepalem, MD

Individual provider Nuclear Medicine Physician · NPI 1174835003

Dr. Prashant Jolepalem, MD is a Diagnostic Radiology in McHenry, Illinois. Qualified in 2009, 17 years ago. Practices with Nuvance Health Medical Practice PC, a 575-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, California, Illinois and Michigan and 1 more.

Years since qualifying
17
Licensed in
AZ, CA, IL, MI, NY
In the registry since
2010
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

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 (1)

  • 12602 Amargosa Rd, Victorville, CA 92392-7640 — (760) 261-5000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036134688 (IL)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 56922 (AZ)
Nuclear Imaging & Therapy Physician Taxonomy 207UN0902X · Licence 275316 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A169326 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 56922 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 275316 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301096774 (MI)

Record details

NPI number1174835003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 8, 2010
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address1001 Avenida Pico, Ste C #156, San Clemente, CA 92673-8198

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Nuvance Health Medical Practice Pc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare