Individual provider Active NPI

Elizabeth R Barak, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1275718603
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD442633 Issued in PA
Practice address
3400 Spruce Street
Ground Floor Dulles
Philadelphia, PA 19104-4206
Phone
(215) 662-3005
NPI assigned
Jan 3, 2008
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD442633 PA Primary

Addresses

Primary practice location

3400 Spruce Street
Ground Floor Dulles
Philadelphia, PA 19104-4206

Mailing address

3400 Spruce Street
Ground Floor Dulles
Philadelphia, PA 19104-4206
Phone (215) 662-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, DE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110921000442 PA Practitioner - Diagnostic Radiology 2466623541 Reassigns benefits to 4 organizations
I20131211001461 NJ Practitioner - Diagnostic Radiology 2466623541 Reassigns benefits to 2 organizations
I20240207000665 DE Practitioner - Diagnostic Radiology 2466623541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Health Imaging LPGroup PAC ID 7618867664, 51 clinicians
Radiology Associates of the Main Line P CGroup PAC ID 9931097193, 80 clinicians

Practice addresses (Care Compare)

101 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3120
Phone (610) 526-8390

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD442633PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Diagnostic Radiology CurrentSince Sep 30, 2013 Accepting new patients
Main Line Health Imaging LP Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Mercy Diagnostic Imaging PC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
University of Penn-Medical Group Diagnostic Radiology CurrentSince May 1, 2015 Accepting new patients
Radiology Associates of the Main Line P C Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients

Locations

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

210 Commerce Way
Ste 100
Portsmouth, NH 03801

1865 Route 70 E
Ste 130
Cherry Hill, NJ 08003
Phone (856) 433-2535

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1001 Chesterbrook Blvd
Ste 100
Berwyn, PA 19312
Phone (610) 576-7500

101 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 526-2200

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

154 Exton Square Mall
Exton, PA 19341
Phone (484) 565-8500

120 Valley Green Ln
Kng of Prussa, PA 19406
Phone (610) 526-3000

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

255 W Lancaster Ave
Ste 131
Paoli, PA 19301
Phone (610) 560-8060

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

250 King of Prussia Rd
Ste 3
Radnor, PA 19087
Phone (610) 902-1800

420 W Linfield Trappe Rd
Royersford, PA 19468
Phone (610) 279-8686

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Interoperability endpoints

  • Direct secure messaging: ebarak3082973@direct.trinity-health.org

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1275718603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "GROUND FLOOR DULLES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "GROUND FLOOR DULLES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAK",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD442633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.