Dr Basava Ancha, MD - Medicare Internal Medicine in Chicago, IL

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Dr Basava Ancha, MD is a medicare enrolled "Internal Medicine" physician in Chicago, Illinois. He graduated from medical school in 1989 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Endeavor Health Medical Group and his current practice location is 5145 N California Ave, Icu, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 878-8200.

Dr Basava Ancha is licensed to practice in Illinois (license number 036085594) 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 1265488647.

Contact Information

Dr Basava Ancha, MD
5145 N California Ave, Icu,
Chicago, IL 60625-3661
(773) 878-8200
Not Available

Map and Direction




Physician's Profile

Full NameDr Basava Ancha
GenderMale
SpecialityInternal Medicine
Experience36 Years
Location5145 N California Ave, Chicago, 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:
  • Dr Basava Ancha graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1265488647
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 10/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486663945
  • Enrollment ID: I20060411000352

Medical Identifiers

Medical identifiers for Dr Basava Ancha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265488647NPI-NPPES
K26778OtherPTAN
036085594MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036085594 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish Covenant HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Endeavor Health Medical Group21633346993022

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 Basava Ancha allows following entities to bill medicare on his behalf.
Entity NameSwedish Covenant Management Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760432348
PECOS PAC ID: 4486556016
Enrollment ID: O20040123000850
Entity NameKsb Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073592119
PECOS PAC ID: 7911890009
Enrollment ID: O20040203000860
Entity NameEndeavor Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118
Entity NamePresence Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932216819
PECOS PAC ID: 2860396769
Enrollment ID: O20050215000965
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 Basava Ancha 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
Dr Basava Ancha, MD
2740 W Foster Ave, Ll7,
Chicago, IL 60625-3500

Ph: (773) 878-8200		Dr Basava Ancha, MD
5145 N California Ave, Icu,
Chicago, IL 60625-3661

Ph: (773) 878-8200

Reviews and Comments


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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.