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NPISignal

Individual Healthcare Provider

Anish Atul Butala, MD

NPI Record: ActiveRadiology — Therapeutic Radiology
NPI1619366499
Philadelphia, Pennsylvania

Provider's NPPES record last updated: August 27, 2021

Overview

Entity Type
Individual Healthcare Provider
NPI
1619366499
Primary Specialty
Radiology — Therapeutic Radiology
Practice Location
Philadelphia, Pennsylvania
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 12:46 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Radiology

    Therapeutic Radiology

    Allopathic & Osteopathic Physicians

    Primary

    Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

    Taxonomy code 2085R0203X
  • Internal Medicine

    Allopathic & Osteopathic Physicians

    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

    Taxonomy code 207R00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Radiology (Pennsylvania)
MD472450
Internal Medicine (Pennsylvania)
MT210439
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3400 Civic Center Boulevard

Trc-2 West

Philadelphia, Pennsylvania 19104

Phone: (267) 438-7203

Additional Practice Location

3400 Spruce St

Philadelphia, Pennsylvania 19104-4238

Phone: (215) 662-2200

Record Information

Enumeration Date
January 15, 2015
Provider's NPPES Record Last Updated
August 27, 2021
Certification Date
August 27, 2021
NPISignal NPPES Dataset
August 2026

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