Anupam Basu, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Evanston, IL
NPI 1043486533 · NPPES record last updated Dec 23, 2024
Key facts
- NPI
- 1043486533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 036120161 (IL)
- Practice address
- 2650 Ridge Ave
Evanston Hospital
Evanston, IL 60201-1718 - Phone
- (847) 570-2000
- NPI assigned
- May 5, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rush University Medical Group
Practice addresses (Care Compare)
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 563-4270
9200 Calumet Ave
Suite E107
Munster, IN 46321-2885
Phone (219) 806-6585
Hospital & facility affiliations
- Rush University Medical Center
- Rush Oak Park Hospital
- Copley Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101208000031 | IL | Practitioner - Diagnostic Radiology | 3870780513 | Reassigns benefits to 2 organizations |
| I20230217000767 | IN | Practitioner - Diagnostic Radiology | 3870780513 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036120161 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current |
Accepting new patients | |
| Preferred Open MRI, LTD. | Diagnostic Radiology | Current |
Accepting new patients |
| Cook County | Current |
Accepting new patients | |
| Preferred Open MRI LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Rush University Medical Group | Diagnostic Radiology | Current |
Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Preferred Open MRI LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Rush University Medical Center | Diagnostic Radiology | Current |
Accepting new patients |
| Preferred Open MRI LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Cook County | Diagnostic Radiology | Current | Accepting new patients |
| South Austin Health Imaging LLC | Current |
Accepting new patients | |
| Scancare Diagnostics LLC | Past |
Accepting new patients |
Locations
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
4941 N Kedzie Ave
Chicago, IL 60625
Phone (773) 293-0451
1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
4909 W Division St
Chicago, IL 60651
Phone (773) 854-8000
75 Remittance Dr
Dept 1611
Chicago, IL 60675
4200 W 63rd St
Chicago, IL 60629
Phone (773) 581-5600
25706 Network Pl
Chicago, IL 60673
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585
9200 Calumet Ave
Ste 107
Munster, IN 46321
Interoperability endpoints
- abasu@direct.ccprovider.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 036120161 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 036120161 | IL | Yes |
Addresses
Primary practice location
2650 Ridge Ave
Evanston Hospital
Evanston, IL 60201-1718
Mailing address
2650 Ridge Ave
Evanston Hospital
Evanston, IL 60201-1718
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abasu@direct.ccprovider.org | Direct | Cook County |
Other providers in Evanston, IL
- Julie L Barton
- Amy Houghton Bash
- Nicole Basile
- Xheni Basko
- Emuata Ufok Bassey
- Anette Batista
- Priyanka Batra
- Jennifer Batza
- Victoria Baum
- Nick Baumann
All providers in Evanston, IL · Diagnostic Radiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.