Individual provider Active NPI

Maanasi Burak, M.D.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1447492772
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MT187057 Issued in PA
Practice address
3401 N Broad St
Philadelphia, PA 19140-5103
Phone
(215) 707-2000
NPI assigned
Apr 1, 2009
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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 MT187057 PA Primary

Addresses

Primary practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Mailing address

3401 N. Broad St
Philadelphia, PA 19114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130528000115 TX Practitioner - Diagnostic Radiology 0749312635 Reassigns benefits to 2 organizations
I20260105000173 OH Practitioner - Diagnostic Radiology 0749312635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians

Practice addresses (Care Compare)

3416 Drexel Dr
Dallas, TX 75205-2904
Phone (937) 395-8627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.41 of 100Reported as group
Quality
73.46
Improvement activities
40
Cost
73.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT187057PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Apr 9, 2016 Accepting new patients
Henry County Hospital Inc CurrentSince Oct 31, 2025 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Feb 26, 2013 Accepting new patients
Kettering Medical Center Past Accepting new patients
Alliance Physicians Inc Past Accepting new patients
Kettering Independent Medical Group Inc Past Accepting new patients

Locations (25 of 58)

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

2510 Commons Blvd
Beavercreek, OH 45431
Phone (937) 223-2911

3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

1023 S Main St
Centerville, OH 45458
Phone (937) 435-1982

L3402
Columbus, OH 43260
Phone (814) 444-1919

101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

3095 Dayton Xenia Rd
Ste 100
Dayton, OH 45434
Phone (937) 458-4200

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

6438 Wilmington Pike
Dayton, OH 45459
Phone (937) 558-3810

6661 Clyo Rd
Dayton, OH 45459
Phone (937) 425-4000

7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420

450F Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8306

1250 W National Rd
Englewood, OH 45315
Phone (937) 458-0085

1045 Channingway Dr
Fairborn, OH 45324
Phone (937) 878-8644

1840 Springfield Rd
Fairborn, OH 45324
Phone (937) 523-8780

100 Kettering Way
Franklin, OH 45005
Phone (937) 458-4700

909 E 2nd St
Ste C
Franklin, OH 45005

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

1391 Main St
Hamilton, OH 45013
Phone (513) 867-9000

2449 Ross Millville Rd
Hamilton, OH 45013
Phone (513) 422-6516

Organizations & group practices 6

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 5

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1447492772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N. BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURAK",
        "first_name": "MAANASI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT187057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.