Individual provider Active NPI

Mark Burnstein, MD

  • Diagnostic Radiology Physician
  • Detroit, MI
National Provider Identifier
1992737712
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301046293 Issued in MI
Practice address
2799 West Grand Blvd
Detroit, MI 48202
Phone
(313) 916-2600
NPI assigned
Jul 6, 2006
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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 4301046293 MI Primary

Addresses

Primary practice location

2799 West Grand Blvd
Detroit, MI 48202

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-7425

Other identifiers 3

IdentifierTypeStateIssuer
2839652MedicaidMI
30-0-H2-6107-0OtherMIBCBCM PIN
300045474OtherMEDICARE RAILROAD CARRIER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, DC, MD3 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
I20040621001624 MI Practitioner - Diagnostic Radiology 2567447840 Reassigns benefits to 10 organizations
I20200415002807 DC Practitioner - Diagnostic Radiology 2567447840 Reassigns benefits to 3 organizations
I20200415002972 MD Practitioner - Diagnostic Radiology 2567447840 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians
DRS Harris Birkhill Wang Songe and Assoc PCGroup PAC ID 3779495338, 63 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5360

1120 20TH St NW
Washington, DC 20036-3406
Phone (202) 748-8830

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (443) 625-5430

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

18100 Oakwood Blvd
Suite 200
Dearborn, MI 48124-4085
Phone (313) 593-7301

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7301

25045 Ford Rd
Suite 100
Dearborn, MI 48128-1088
Phone (313) 359-7650

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088

33101 Annapolis St
Wayne, MI 48184-2405
Phone (313) 359-7600

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

3555 W 13 Mile Rd
N120 Corewell Health William Beaumont Unive
Royal Oak, MI 48073-6710
Phone (248) 551-1550

3577 W 13 Mile Rd
Royal Oak, MI 48073-6710

3581 W 13 Mile Rd BCC
Beaumont Breast Care Center Ro
Royal Oak, MI 48073-6710
Phone (248) 551-3300

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-0575

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187

44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111

44250 Dequindre Rd
Sterling Heights, MI 48314-1002
Phone (248) 964-5190

4653 Chelsea LN
Bloomfield Township, MI 48301-3619
Phone (703) 558-1400

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3877

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (248) 455-0865

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301046293MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
VHS Physicians of Michigan CurrentSince May 21, 2022 Accepting new patients
Henry Ford Macomb Hospital Corporation Family Medicine Current Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Jul 5, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 15, 2024 Accepting new patients
Beacon Dowagiac Inc CurrentSince Dec 9, 2024 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince Apr 9, 2020 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Apr 9, 2020 Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology CurrentSince Sep 8, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 15, 2024 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Feb 28, 2018 Accepting new patients
Beacon Dowagiac Inc Diagnostic Radiology CurrentSince Dec 9, 2024 Accepting new patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
DRS Harris Birkhill Wang Songe & Assoc PC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 2015 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Apr 9, 2020 Accepting new patients
SHPS, PLLC Diagnostic Radiology CurrentSince Oct 16, 2024 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology Current Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Hurley Medical Center Current Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients

Locations (25 of 27)

110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429

1120 20th St NW
Washington, DC 20036
Phone (202) 370-1386

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3007 Tilden St NW
Ste 5N
Washington, DC 20008

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

4061 Powder Mill Rd
Ste 210
Calverton, MD 20705
Phone (202) 669-8501

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

5454 Wisconsin Ave
Ste 1100
Chevy Chase, MD 20815
Phone (855) 546-1872

7501 Surratts Rd
Ste 105
Clinton, MD 20735
Phone (301) 877-5588

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750

2118 Greenspring Dr
Ste 100
Timonium, MD 21093
Phone (443) 470-1070

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

18100 Oakwood Blvd
Ste 200
Dearborn, MI 48124
Phone (313) 438-7715

840 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 359-7600

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

Interoperability endpoints

  • Direct secure messaging: mburnstein12817@direct.hfhs.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 7

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1992737712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 WEST GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48202",
            "telephone_number": "313-916-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSTEIN",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301046293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2839652",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBCM PIN",
            "identifier": "30-0-H2-6107-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "300045474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.