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

Individual provider Internal Medicine Physician · NPI 1265488647

Dr. Basava Ancha, MD is an Internal Medicine in Chicago, Illinois. Qualified in 1989, 37 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
37
Licensed in
IL
In the registry since
2006
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

5145 N California Ave ICU
Chicago, IL 60625-3661
Phone: (773) 878-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7435 W Talcott Ave, Chicago, IL 60631-3707 — (773) 774-8000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036085594 (IL)

Record details

NPI number1265488647
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020
Mailing address2740 W Foster Ave, Ll7, Chicago, IL 60625-3500

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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