Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Bhasker Rao Koppula, M.D

Diagnostic Radiology Physician in Mchenry, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417033267

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Registry record

Entity type Individual (Type 1)

Name Bhasker Rao Koppula

Credential M.D

Sex Male

Practice address 4201 W Medical Center Dr, Mchenry, IL, 60050

Phone (815) 334-5566

Fax (815) 759-4008

Enumeration date Oct 27, 2006

Last updated in NPPES Aug 30, 2024

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 036166661 (IL) Primary

207U00000X Nuclear Medicine Physician Allopathic & Osteopathic Physicians · License 7682213-1205 (UT) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License MD60120325 (WA) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 7682213-1205 (UT) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
339350	Other	-	INTERNAL ID-MOTOR VEHICLE ID
8443277	Medicaid	WA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Bhasker Rao Koppula practice?

The practice location on file with NPPES is in Mchenry, IL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Bhasker Rao Koppula?

The National Provider Identifier (NPI) for Bhasker Rao Koppula is 1417033267, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Anoop Karna Diagnostic Radiology Physician · Mchenry, IL NPI 1689675357 Anand Veerabahu Internal Medicine Physician · Mchenry, IL NPI 1346235264 John Sharum Physician Assistant · Mchenry, IL NPI 1710973458 Robert Ortega Diagnostic Radiology Physician · Mchenry, IL NPI 1730178781 David Wu Diagnostic Radiology Physician · Mchenry, IL NPI 1477538874 Debra Brasier Pharmacist · Mchenry, IL NPI 1437137023 Pardeep Bhanot Emergency Medicine Physician · Mchenry, IL NPI 1477521797 Aaron Wittenberg Diagnostic Radiology Physician · Mchenry, IL NPI 1164486338

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-30.