SANDRA BIRNBAUM
NPI 1013327915
Obstetrics & Gynecology in Fogelsville, PA
About Sandra Birnbaum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA BIRNBAUM (NPI 1013327915) is an individual obstetrics & gynecology provider in Fogelsville, Pennsylvania, licensed in Pennsylvania (MD464928) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Rutgers New Jersey Medical School (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sandra Birnbaum is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Sandra Birnbaum reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fogelsville, PA 18051
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Bethlehem, PA 18015
- Reassigned Medicare billing, Pennsylvania enrollment
- 318 clinicians in this Medicare group
Orwigsburg, PA 17961
- Reassigned Medicare billing, Pennsylvania enrollment
- 953 clinicians in this Medicare group
Drexel Hill, PA 19026
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PAGeisinger St. Luke's Hospital
Acute Care Hospitals · Orwigsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOGELSVILLE, PA 18051
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandra Birnbaum's NPI number?
The NPI number for Sandra Birnbaum is 1013327915. It was assigned to this individual provider in the NPPES registry on April 30, 2014.
Where is Sandra Birnbaum located?
Sandra Birnbaum practices at 1251 Turnstone Dr Ste 230, Fogelsville, PA 18051. The listed phone number is (484) 822-5154.
What is Sandra Birnbaum's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Sandra Birnbaum enrolled in Medicare?
Yes. Sandra Birnbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sandra Birnbaum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Birnbaum reassigns Medicare benefits to 4 organizations: St. Luke's Physician Group Inc (Fogelsville, PA), Star Community Health, Inc (Bethlehem, PA), Gslpg, Inc (Orwigsburg, PA) and Prospect Health Access Network, Inc. (Drexel Hill, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Birnbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sandra Birnbaum affiliated with any hospitals?
According to CMS data, Sandra Birnbaum is affiliated with St Luke's Hospital Bethlehem and Geisinger St. Luke's Hospital.
When was this NPI record last updated?
The NPPES record for Sandra Birnbaum was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sandra Birnbaum · NPI 1013327915
Obstetrics & Gynecology physician in Fogelsville, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 30, 2014.
## Identity
- **NPI:** 1013327915 (Entity type: Individual)
- **Enumerated:** April 30, 2014
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD464928 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1251 TURNSTONE DR STE 230, Fogelsville, PA 18051-1713
- **Phone:** (484) 822-5154
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): St. Luke's Physician Group Inc (NPI 1326492257, Fogelsville, PA); Star Community Health, Inc (NPI 1033686159, Bethlehem, PA); Gslpg, Inc (NPI 1366006702, Orwigsburg, PA); Prospect Health Access Network, Inc. (NPI 1255786729, Drexel Hill, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2014
## Record status
- **NPPES last updated:** November 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013327915) · Data from the CMS NPPES public registry.