Nagendra Sai Koneru, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

036116453 Issued in IL

Practice address

2160 S 1St Ave
Maywood, IL 60153-3328

Phone

(708) 216-9000

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Bobby Koneru Other name

Medicare fee-for-service enrollment

Enrolled in IL, IA, FL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Radiation Oncology

Education

University of Missouri, Columbia School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians

Freeport Regional Health Care FoundationGroup PAC ID 9234041682, 86 clinicians

Mercy Medical Center-DubuqueGroup PAC ID 2668467168, 20 clinicians

Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160
• Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069
• Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
• The Monroe Clinic Hospital, Monroe, WI, CCN 520028

Merit-based Incentive Payment System (MIPS)

Final score

87.08 of 100Reported as group

Quality

86.25

Improvement activities

40

Cost

77.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: nagendra.koneru.p1@direct.ooc.nextgenshare.com

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

• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788
  Medicare reassignment Care Compare group NPD
• Loyola University Medical Center

  • General Practice Physician
  • Maywood, IL
  • NPI 1336159961
  Medicare reassignment Care Compare group NPD
• Mercy Medical Center-Dubuque

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506
  Medicare reassignment Care Compare group NPD
• Freeport Regional Health Care Foundation

  • Family Medicine Physician
  • Freeport, IL
  • NPI 1457337016
  Medicare reassignment Care Compare group
• Orlando Orthopaedic Center MD PA

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1740252899
  Medicare reassignment NPD
• Loyola University Medical Center

  • Community/Retail Pharmacy
  • Maywood, IL
  • NPI 1184789299
  NPD
• Mercy Medical Center-Dubuque

  • Psychiatric Hospital Unit
  • Dubuque, IA
  • NPI 1851326920
  NPD
• Orlando Orthopaedic Center MD PA

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1164154407
  NPD
• Orlando Orthopaedic Center MD PA

  • Orthopaedic Surgery Physician
  • Lake Mary, FL
  • NPI 1740476068
  NPD
• 24 Hour Care, L.L.C.

  • Home Health Agency
  • Galena, IL
  • NPI 1891084596
  NPD (past)
• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1790720613
  NPD (past)
• Southeastern Wi Radiation

  • Radiation Oncology Physician
  • Waukesha, WI
  • NPI 1285601062
  NPD (past)

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

• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788
  Care Compare affiliation
• Loyola University Medical Center

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  Care Compare affiliation
• Loyola University Medical Center

  • General Acute Care Hospital
  • Tinley Park, IL
  • NPI 1427752013
  Care Compare affiliation
• Mercy Medical Center-Dubuque

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506
  Care Compare affiliation
• The Monroe Clinic, Inc.

  • General Acute Care Hospital
  • Monroe, WI
  • NPI 1740291491
  Care Compare affiliation

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1508989260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3319 Spring St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528072125",
            "country_code": "US",
            "telephone_number": "563-900-5363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 N Grandview Ave",
            "address_2": "Wendt Regional Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520016388",
            "country_code": "US",
            "telephone_number": "563-589-2468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Oviedo Mall Blvd",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327657418",
            "country_code": "US",
            "telephone_number": "407-977-3500",
            "fax_number": "407-423-2789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONERU",
        "first_name": "NAGENDRA",
        "middle_name": "SAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036116453",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "39741",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "50738",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME175426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34936900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316231012",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBY",
            "last_name": "KONERU",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jordan James Koczenasz, MD
• Azucena Kohlrus, RN
• Sai Suraj Kollapaneni, MD
• Monica Komorowski, MD
• Katherine Elizabeth Konczak
• Viktoria Kontseva
• Stephanie Mei Koo
• Karli Anne Korsch, P.T. D.P.T
• Shelby Quinn Coulter Koschuck, DDS
• Hunter Roy Koster, MD

• Radiation Oncology Physician in Maywood, IL
• Providers in Maywood, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.