Dr Anjan Mandyam Basoor, MD in Fredericksburg, VA

Dr Anjan Mandyam Basoor, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fredericksburg, Virginia. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Intellirad Imaging Llc, Methodist Associates In Healthcare, Inc and his current practice location is 1001 Sam Perry Blvd, Fredericksburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (407) 415-6105.

Dr Anjan Mandyam Basoor is licensed to practice in California (license number A134629) 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 1649512054.

Contact Information

	Dr Anjan Mandyam Basoor, MD
	1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453
	(407) 415-6105
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Anjan Mandyam Basoor
Gender	Male
Speciality	Diagnostic Radiology
Experience	12 Years
Location	1001 Sam Perry Blvd, Fredericksburg, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Anjan Mandyam Basoor graduated from medical school in 2013

NPI Data:

NPI Number: 1649512054
Provider Enumeration Date: 03/24/2013
Last Update Date: 11/07/2025

Medicare PECOS Information:

PECOS PAC ID: 2860792777
Enrollment ID: I20180613003048

Medical Identifiers

Medical identifiers for Dr Anjan Mandyam Basoor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649512054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	0101287045 (Virginia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	ME161368 (Florida)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	A134629 (California)	Primary
2085R0202X	Radiology - Diagnostic Radiology	319700 (New York)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Abington Memorial Hospital	Abington, PA	Hospital
West Florida Hospital	Pensacola, FL	Hospital
Abington Health Lansdale Hospital	Lansdale, PA	Hospital
Sacred Heart Hospital	Pensacola, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intellirad Imaging Llc	9739333790	55
Methodist Associates In Healthcare, Inc	6406755651	338

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. Dr Anjan Mandyam Basoor allows following entities to bill medicare on his behalf.

Entity Name	Intellirad Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073859484 PECOS PAC ID: 9739333790 Enrollment ID: O20140131000561

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. Dr Anjan Mandyam Basoor 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 Address	Practice Location Address
Dr Anjan Mandyam Basoor, MD 400 W Pueblo St, Santa Barbara, CA 93105-4353 Ph: (805) 569-7573	Dr Anjan Mandyam Basoor, MD 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 Ph: (407) 415-6105

Reviews and Comments

Radiology Doctors in Fredericksburg, VA

Narinder Nitin Sethi, MD, MS Radiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-361-1000 Fax: 540-361-7010
David Scott, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1571 Fax: 540-741-1586
David Landsnes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-361-1000 Fax: 540-361-7010
Vishal Bindal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Radiologic Associates Of Fredericksburg, Fredericksburg, VA 22401 Phone: 540-361-1000 Fax: 540-361-7010
John Mclaughlin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-361-1000 Fax: 540-361-7010
Ms. Shelby Jean Galloway, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12709 Willow Pt. Dr., Fredericksburg, VA 22408 Phone: 540-710-5759
Conrado C Gonzalez Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 6105 Health Center Lane, Fredericksburg, VA 22407 Phone: 540-786-5262 Fax: 540-786-5299

Dr Anjan Mandyam Basoor, MD - Medicare Diagnostic Radiology in Fredericksburg, VA