Organization Active NPI

Dr Raman Popli and Associates

  • Internal Medicine Physician
  • Crystal Lake, IL
National Provider Identifier
1760812978
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036104035 Issued in IL
Legal business name
DR RAMAN POPLI AND ASSOCIATES
Practice address
145 S Virginia St Ste C
Crystal Lake, IL 60014-7226
Phone
(815) 363-6055
Fax
(815) 363-6150
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Dr. Raman Inder Popli, M.D.NPI 1013928712
Title
President
Phone
(815) 363-6055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036104035 IL Primary

Addresses

Primary practice location

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

Mailing address

5415 Bull Valley Rd
McHenry, IL 60050-7410
Phone (815) 363-6055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140220000709 IL Part B Supplier - Clinic/Group Practice 5991935827 Receives reassigned benefits from 1 practitioner
Practice locations: Crystal Lake, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2077323Dr Raman Popli and Associates145 S Virginia St - Ste C, Crystal Lake, IL 60014Certificate of waiverMay 5, 2028

National Provider Directory

National Provider Directory

Locations

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

5415 Bull Valley Rd
McHenry, IL 60050
Phone (815) 363-1163

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1760812978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 BULL VALLEY RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507410",
            "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": [],
    "basic": {
        "organization_name": "DR RAMAN POPLI AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "POPLI",
        "authorized_official_first_name": "RAMAN",
        "authorized_official_middle_name": "INDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-363-6055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036104035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.