BHASKER RAO KOPPULA (M.D) – Nuclear Medicine Physician, NPI 1417033267
Nuclear Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
12 NUCLEAR MEDICINE in UT
Provider Addresses for BHASKER RAO KOPPULA (M.D)
Department Of Radiology University Of Utah
30 North 1900 East, #1A071
Salt Lake City, UT 841322140
Phone: (801) 581-7553
Type: Location
1304 Fawcett Ave Ste 100
Tacoma, WA 984021900
Phone: (253) 761-4200
Type: Location
DEPARTMENT OF RADIOLOGY UNIVERSITY OF UTAH
30 NORTH 1900 EAST, #1A071
SALT LAKE CITY, UT 841322140
Phone: (801) 581-7553
Type: Location
4201 W MEDICAL CENTER DR
MCHENRY, IL 600508409
Phone: (815) 334-5566
Fax: (815) 759-4008
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Penumbra, Inc. ($120).
Total Amount
$120
General + Research + Ownership
Payments
1
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $120 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101118001413 | I | Nuclear Medicine | UT | TBD |
| I20231115000684 | I | Diagnostic Radiology | IL | TBD |
| I20240306002795 | I | Diagnostic Radiology | TX | TBD |
| I20250918003537 | I | Diagnostic Radiology | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 152 | 152 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 122 | 122 | $0 |
| 78306 | Nuclear medicine study of bone and/or joint whole body | 68 | 64 | $0 |
| 71045 | X-ray of chest, 1 view | 60 | 49 | $0 |
| 71046 | X-ray of chest, 2 views | 23 | 23 | $0 |
Insurance plans in this area (ZIP 84132)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | CA | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | IN |
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