Bhasker Rao Koppula, M.D
Bhasker Rao Koppula, M.D is a Diagnostic Radiology Physician in Mchenry, IL, registered under NPI 1417033267. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 4201 W MEDICAL CENTER DR, Mchenry, IL 60050. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 036166661 | IL | Diagnostic Radiology Physician primary |
| 7682213-1205 | UT | Nuclear Medicine Physician |
| MD60120325 | WA | Diagnostic Radiology Physician |
| 7682213-1205 | UT | Diagnostic Radiology Physician |
Licences are recorded in 3 states: IL, UT, WA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Nuclear Medicine
- PAC ID
- 1658391586
Enrolled in Medicare 4 times, across 4 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Utah | I20101118001413 | Practitioner - Nuclear Medicine |
| Illinois | I20231115000684 | Practitioner - Diagnostic Radiology |
| Texas | I20240306002795 | Practitioner - Diagnostic Radiology |
| Iowa | I20250918003537 | Practitioner - Diagnostic Radiology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Nuclear Medicine. There are 4 separate enrolment records across 4 states (UT, IL, TX, IA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 3 states
This provider holds licences in 3 states: Illinois, Utah and Washington. The practice address on file is in Mchenry, IL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 036166661
- Specialty
- Diagnostic Radiology Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Diagnostic Radiology covers
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 036166661 | IL | primary |
| 207U00000X | Nuclear Medicine Physician | 7682213-1205 | UT | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | MD60120325 | WA | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 7682213-1205 | UT |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1417033267 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 27, 2006 |
| Last updated | Aug 30, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D |
| Practice address |
4201 W MEDICAL CENTER DR Mchenry, IL 60050 (815) 334-5566 Fax (815) 759-4008 |
| Mailing address |
DEPARTMENT OF RADIOLOGY UNIVERSITY OF UTAH 30 NORTH 1900 EAST, #1A071 Salt Lake City, UT 84132 |
| Other identifiers |
339350
· Other 8443277 · Medicaid (WA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 0 | 3 | 3 | 2 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 0 | 3 | 6 | 2 | 3 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.