Active NPI
Anupam Basu, M.D.
- Diagnostic Radiology Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036120161
- Practice address
- 2650 Ridge Ave
Evanston Hospital
Evanston, IL 60201-1718 - Phone
- (847) 570-2000
- NPI assigned
- May 5, 2008
- Last updated
- Dec 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 036120161 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 036120161 | IL | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abasu@direct.ccprovider.org | Direct | Cook County |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036120161 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | 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 |
| Preferred Open MRI, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| South Austin Health Imaging LLC | Current | Accepting new patients | |
| Preferred Open MRI LTD | Diagnostic Radiology | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Cook County | Diagnostic Radiology | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Preferred Open MRI LTD | Diagnostic Radiology | Current | Accepting new patients |
| Scancare Diagnostics LLC | Past | Accepting new patients |
Locations
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600
25706 Network Pl
Chicago, IL 60673
4200 W 63rd St
Chicago, IL 60629
Phone (773) 581-5600
4909 W Division St
Chicago, IL 60651
Phone (773) 854-8000
4941 N Kedzie Ave
Chicago, IL 60625
Phone (773) 293-0451
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
9200 Calumet Ave
Ste 107
Munster, IN 46321
9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585
Interoperability endpoints
- abasu@direct.ccprovider.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Diagnostic Radiology, IN
-
dba John H. Stroger, Jr. Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
dba John H. Stroger, Jr. Hospital of Cook County
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1821278938
-
dba Cook County Health & Hospitals System Physician Services
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
Diagnostic Radiology
-
dba Preferred Imaging
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1336619303
-
dba Preferred Imaging
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1740839364
-
dba Preferred Imaging
- Diagnostic Radiology Physician
- Orland Park, IL
- NPI 1942735253
-
dba Preferred Imaging
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1366167710
-
dba Radiology Services
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1184269425
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1629123765
-
- Mobile Radiology Clinic/Center
- Chicago, IL
- NPI 1154744654
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1043486533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"address_2": "EVANSTON HOSPITAL",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"address_2": "EVANSTON HOSPITAL",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASU",
"first_name": "ANUPAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-05",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "IL",
"license": "036120161",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036120161",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abasu@direct.ccprovider.org",
"affiliation": "Y",
"affiliationName": "Cook County",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1969 W. Ogden Ave.",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606123723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.