| Dr Basava Ancha, MD | |
|
5145 N California Ave, Icu, Chicago, IL 60625-3661 | |
| (773) 878-8200 | |
| Not Available |
| Full Name | Dr Basava Ancha |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 5145 N California Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265488647 | NPI | - | NPPES |
| K26778 | Other | PTAN | |
| 036085594 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036085594 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Provident Hospital Of Chicago | Chicago, IL | Hospital |
| Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
| Swedish Covenant Hospital | Chicago, IL | Hospital |
| Amita Health Resurrection Medical Center | Chicago, IL | Hospital |
| Presence Saint Francis Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Healthcare Illinois Medical Group Llc | 5597275685 | 277 |
| Endeavor Health Medical Group | 2163334699 | 3372 |
| Osf Multi-specialty Group | 3678889789 | 2110 |
| Sound Physicians Of Indiana Llc | 4981841780 | 78 |
| Entity Name | Swedish Covenant Management Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
| Entity Name | Ksb Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice 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 |
Dr. Sorin C Danciu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722 | |
Anoopa A. Koshy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000 | |
William Edmond Gerardi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060 | |
Dr. Puneet Dhillon Grewal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2653 W Ogden Ave Fl 3, Chicago, IL 60608 Phone: 773-257-6840 | |
Alexandra Dumitrescu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Mitesh Mahesh Kabadi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020 | |
Dr. Marta Batus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192 |