MR. ADITYA ANCHA M.D.
NPI 1912258070
Emergency Medicine in Lexington, KY
About Mr. Aditya Ancha M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ADITYA ANCHA M.D. (NPI 1912258070) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (55900) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and maintains a secondary practice location in Greenville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Aditya Ancha M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
13Medicare enrollment records show Aditya Ancha reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maryville, TN 37804
- Reassigned Medicare billing, Tennessee enrollment
- 390 clinicians in this Medicare group
Johnson City, TN 37604
- Reassigned Medicare billing, Tennessee enrollment
- 284 clinicians in this Medicare group
Portage, WI 53901
- Reassigned Medicare billing, Wisconsin enrollment
- 359 clinicians in this Medicare group
Iola, WI 54945
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 clinicians in this Medicare group
Merrill, WI 54452
- Reassigned Medicare billing, Wisconsin enrollment
- 351 clinicians in this Medicare group
Athens, WI 54411
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Brooklyn, NY 11212
- Reassigned Medicare billing, New York enrollment
- 782 clinicians in this Medicare group
Brooklyn, NY 11203
- Reassigned Medicare billing, New York enrollment
- 192 clinicians in this Medicare group
Eagle River, WI 54521
- Reassigned Medicare billing, Wisconsin enrollment
- 262 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Rhinelander Hospital
Acute Care Hospitals · Rhinelander, WIHoward Young Medical Center
Acute Care Hospitals · Woodruff, WIAspirus Eagle River Hospital
Critical Access Hospitals · Eagle River, WIAspirus Medford Hospital & Clinics, Inc
Critical Access Hospitals · Medford, WIAspirus Merrill Hospital
Critical Access Hospitals · Merrill, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Aditya Ancha's NPI number?
The NPI number for Aditya Ancha is 1912258070. It was assigned to this individual provider in the NPPES registry on September 28, 2012.
Where is Aditya Ancha located?
Aditya Ancha practices at 1221 S Broadway, Lexington, KY 40504. The listed phone number is (859) 258-4000.
What is Aditya Ancha's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Aditya Ancha enrolled in Medicare?
Yes. Aditya Ancha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Aditya Ancha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aditya Ancha reassigns Medicare benefits to 13 organizations: App Of Tennessee Ed, PLLC (Maryville, TN), Tri-Cities Regional Emergency Physicians, PC (Johnson City, TN), Divine Savior Healthcare, Inc. (Portage, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aditya Ancha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Aditya Ancha accept?
Health plans from Anthem Blue Cross and Blue Shield list Aditya Ancha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Aditya Ancha affiliated with any hospitals?
According to CMS data, Aditya Ancha is affiliated with Aspirus Rhinelander Hospital, Howard Young Medical Center, Aspirus Eagle River Hospital, Aspirus Medford Hospital & Clinics, Inc and Aspirus Merrill Hospital.
When was this NPI record last updated?
The NPPES record for Aditya Ancha was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Aditya Ancha, M.D. · NPI 1912258070
Emergency Medicine physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since September 28, 2012.
## Identity
- **NPI:** 1912258070 (Entity type: Individual)
- **Enumerated:** September 28, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 55900 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1221 S BROADWAY, Lexington, KY 40504-2701
- **Phone:** (859) 258-4000 · **Fax:** (859) 258-6203
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): App Of Tennessee Ed, PLLC (NPI 1003230236, Maryville, TN); Tri-Cities Regional Emergency Physicians, PC (NPI 1063950046, Johnson City, TN); Divine Savior Healthcare, Inc. (NPI 1124083894, Portage, WI); Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1578232849, Iola, WI); Aspirus Stevens Point Hospital & Clinics, Inc. (NPI 1184082745, Stevens Point, WI); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Florida College Of Medicine, class of 2012
## Record status
- **NPPES last updated:** May 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912258070) · Data from the CMS NPPES public registry.