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NINA R BIRNBAUM M.D.
NPI 1063520690
Family Medicine in Albany, CA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
500 SAN PABLO AVE, ALBANY, CA 94706(510) 204-8130(510) 524-0861 Get Directions Write a Review

NPPES record last updated: October 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nina R Birnbaum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NINA R BIRNBAUM M.D. (NPI 1063520690) is an individual family medicine provider in Albany, California, licensed in California (G081570) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of University Of Missouri, Columbia School Of Medicine (1993).

NPPES Registry Identity

NPI1063520690
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNINA R BIRNBAUMCredential: M.D.
Location Address500 SAN PABLO AVEAlbany, CA 94706-1103
Mailing Address500 San Pablo AveAlbany, CA 94706-1103 · (510) 204-8130 · Fax (510) 524-0861
Phone(510) 204-8130
Fax(510) 524-0861
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1993
Enumeration DateAugust 25, 2006
Last NPPES UpdateOctober 27, 2017
✔ NPI 1063520690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G081570
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

500 SAN PABLO AVE, Albany, CA 94706
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Secondary Practice Location 1

Location 1500 San Pablo Ave, Suite 300Albany, CA 94706-1127 · Phone (510) 524-1580

Other Identifiers 2

Medicare ID-Type Unspecified00G815701CA
Medicare UPIN100647

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nina R Birnbaum M.d. 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.

PECOS PAC ID5698767614
PECOS Enrollment IDI20040331000861
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
132 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIMARY CARE AFFILIATES, INC.
Family Medicine
500 SAN PABLO AVE, SUITE 400
ALBANY, CA 94706
Alameda County (510) 524-4070
EVAN SCOTT COLLIER M.D.
Family Medicine
500 SAN PABLO AVE, SUITE 300
ALBANY, CA 94706
Alameda County (510) 204-8130
MISS PAMELA LEMMON BLAUFARB NP
Nurse Practitioner (Family)
500 SAN PABLO AVE, SUITE 400
ALBANY, CA 94706
Alameda County (415) 272-2058
MARGARET KIRKHAM RN, MSN, FNP
Nurse Practitioner (Family)
500 SAN PABLO AVE
ALBANY, CA 94706
Alameda County (510) 204-8130
MR. DREW HO NP-C
Nurse Practitioner (Family)
500 SAN PABLO AVE, SUITE 300
ALBANY, CA 94706
Alameda County (510) 204-8130
CORINA CLARK-DERMAN FNP
Nurse Practitioner (Family)
500 SAN PABLO AVE
ALBANY, CA 94706
Alameda County (510) 204-8130
ANDERSON HWA-TE TSAI D.O.
Internal Medicine
500 SAN PABLO AVE, STE 300
ALBANY, CA 94706
Alameda County (510) 204-8130
MARY E. WARDLAW N.P.
Nurse Practitioner (Family)
500 SAN PABLO AVE
ALBANY, CA 94706
Alameda County (510) 204-8130

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 Nina Birnbaum's NPI number?

The NPI number for Nina Birnbaum is 1063520690. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Nina Birnbaum located?

Nina Birnbaum practices at 500 San Pablo Ave, Albany, CA 94706. The listed phone number is (510) 204-8130.

What is Nina Birnbaum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nina Birnbaum enrolled in Medicare?

Yes. Nina 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.

When was this NPI record last updated?

The NPPES record for Nina Birnbaum was last updated on October 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.