NPIMap

Individual provider Active NPI

Raman I Popli, MD

  • Internal Medicine Physician
  • Crystal Lake, IL
National Provider Identifier
1013928712
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36104035 Issued in IL
Practice address
145 S Virginia St Ste C
Crystal Lake, IL 60014-7226
Phone
(815) 363-6055
Fax
(815) 363-6150
NPI assigned
Aug 10, 2006
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 82899-20 WI
Internal Medicine Physician 207R00000X 36104035 IL Primary

Addresses

Primary practice location

145 S Virginia St Ste C
Crystal Lake, IL 60014-7226

Mailing address

145 S Virginia St Ste C
Crystal Lake, IL 60014-7226
Phone (815) 363-6055

Other practice location 1

677 E State St
Burlington, WI 53105-1639
Phone (262) 763-9531

Other identifiers 1

IdentifierTypeStateIssuer
36104035MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100203000357 IL Practitioner - Internal Medicine 9830232529 Reassigns benefits to 4 organizations
I20250130002629 WI Practitioner - Internal Medicine 9830232529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Physicians LLCGroup PAC ID 9133367931, 8 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

1200 Roosevelt Rd
Suite 140
Glen Ellyn, IL 60137-7813
Phone (708) 307-2103

145 S Virginia St
Suite C
Crystal Lake, IL 60014-7226
Phone (815) 363-6055

1650 Indiantown Rd
Henry, IL 61537
Phone (248) 660-1220

8400 Sheridan Rd
Kenosha, WI 53143-6327
Phone (248) 660-1220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36104035ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC Internal Medicine CurrentSince Dec 28, 2025 Accepting new patients
Skyline Physicians LLC Internal Medicine CurrentSince Sep 22, 2020 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Nov 4, 2024 Accepting new patients
Reiter Chiropractic PC Past Accepting new patients

Locations

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

1200 Roosevelt Rd
Ste 140
Glen Ellyn, IL 60137
Phone (708) 307-2103

310 S Eads Ave
Paris, IL 61944
Phone (217) 465-5395

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

677 E State St
Burlington, WI 53105
Phone (262) 763-9531

8400 Sheridan Rd
Kenosha, WI 53143
Phone (262) 568-4141

N7135 Rocky Knoll Pkwy
Plymouth, WI 53073
Phone (920) 449-1254

1505 Orrin Rd
Prescott, WI 54021
Phone (715) 262-1107

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1013928712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S VIRGINIA ST STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147226",
            "telephone_number": "815-363-6055",
            "fax_number": "815-363-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S VIRGINIA ST STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147226",
            "telephone_number": "815-363-6055",
            "fax_number": "815-363-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 E State St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "WI",
            "postal_code": "531051639",
            "country_code": "US",
            "telephone_number": "262-763-9531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPLI",
        "first_name": "RAMAN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "82899-20",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36104035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36104035",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.