Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tina Basak, MD

Individual provider Diagnostic Radiology Physician · NPI 1487966735

Dr. Tina Basak, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Graduated from University of Southern California Keck School of Medicine in 2010, 16 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
16
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA, PA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104
Phone: (215) 662-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD463749 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A119265 (CA)

Record details

NPI number1487966735
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2010
Last updated in NPPESOctober 7, 2023
Certification dateOctober 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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