Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anish Atul Butala, MD

Individual provider Internal Medicine Physician · NPI 1619366499

Anish Atul Butala, MD is a Radiation Oncology in Philadelphia, Pennsylvania. Graduated from Northwestern University Feinberg Medical School in 2016, 10 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
10
Trained at
Northwestern University Feinberg Medical School
Licensed in
PA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Civic Center Boulevard TRC-2 W
Philadelphia, PA 19104
Phone: (267) 438-7203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 Spruce St, Philadelphia, PA 19104-4238 — (215) 662-2200

Specialties & licences

Therapeutic Radiology Physician (primary) Taxonomy 2085R0203X · Licence MD472450 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT210439 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619366499
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 15, 2015
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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