Raja Ram Poludasu, MD - Medicare Diagnostic Radiology in Park Ridge, IL

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Raja Ram Poludasu, MD is a medicare enrolled "Nuclear Medicine - Nuclear Imaging & Therapy" physician in Park Ridge, Illinois. He graduated from medical school in 1983 and has 43 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Integrated Imaging Consultants Llc and his current practice location is 1420 Renaissance Dr Ste 307, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 803-1000.

Raja Ram Poludasu is licensed to practice in New York (license number P53187) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578682464.

Contact Information

Raja Ram Poludasu, MD
1420 Renaissance Dr Ste 307,
Park Ridge, IL 60068-1343
(847) 803-1000
(847) 803-1098

Map and Direction




Physician's Profile

Full NameRaja Ram Poludasu
GenderMale
SpecialityDiagnostic Radiology
Experience43 Years
Location1420 Renaissance Dr Ste 307, Park Ridge, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Raja Ram Poludasu graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1578682464
  • Provider Enumeration Date: 03/29/2007
  • Last Update Date: 02/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7810059946
  • Enrollment ID: I20081223000541

Medical Identifiers

Medical identifiers for Raja Ram Poludasu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578682464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 036121439 (Illinois)Secondary
207UN0902XNuclear Medicine - Nuclear Imaging & Therapy P53187 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Lutheran General HospitalPark ridge, ILHospital
Advocate Illinois Masonic Medical CenterChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Imaging Consultants Llc2567784408174

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Raja Ram Poludasu allows following entities to bill medicare on his behalf.
Entity NameIntegrated Imaging Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700285335
PECOS PAC ID: 2567784408
Enrollment ID: O20141204001441

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raja Ram Poludasu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Raja Ram Poludasu, MD
29373 Network Pl,
Chicago, IL 60673-1293

Ph: (847) 390-5900		Raja Ram Poludasu, MD
1420 Renaissance Dr Ste 307,
Park Ridge, IL 60068-1343

Ph: (847) 803-1000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.