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

Samyukta Koppula, MD

Individual provider Allergy & Immunology Physician · NPI 1770641763

Samyukta Koppula, MD is an Allergy/Immunology in Willowbrook, Illinois. Qualified in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
44
Licensed in
IL
In the registry since
2006
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

6857 Kingery Hwy
Willowbrook, IL 60527-5114
Phone: (630) 323-8800
Fax: (630) 850-9797
Show map & directions

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

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 00303660782441 (IL)

Record details

NPI number1770641763
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESSeptember 30, 2013
Mailing address6857 Kingery Hwy, Willowbrook, IL 60527-5114

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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