MR. ALAN J BIRNBAUM MD
NPI 1124057419
Internal Medicine - Rheumatology in South Bend, IN
NPI Status: Active since July 01, 2006
Contact Information
100 NAVARRE PL
SUITE 5570
SOUTH BEND, IN
ZIP 46601
Phone: (574) 233-6620
Fax: (574) 233-6224
- Individual
- Male
- Internal Medicine
- Rheumatology
- Medicare Quality Reporting
About ALAN BIRNBAUM
This page provides the complete NPI Profile along with additional information for Alan Birnbaum, an internist established in South Bend, Indiana with a medical specialization in Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1124057419 assigned on July 2006. The practitioner's primary taxonomy code is 207RR0500X with license number 01039340 (IN). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1124057419
- Provider Name
- MR. ALAN J BIRNBAUM MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 100 NAVARRE PL SUITE 5570 SOUTH BEND, IN 46601
- Location Phone
- (574) 233-6620
- Location Fax
- (574) 233-6224
- Mailing Address
- 100 NAVARRE PL STE 5570 SOUTH BEND, IN 46601
- Mailing Phone
- (574) 233-6620
- Mailing Fax
- (574) 233-6224
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-01-2006
- Last Update Date
- 12-14-2007
- Code Navigator
An internist like Alan Birnbaum is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Rheumatology
- Taxonomy Code
- 207RR0500X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01039340
- License State
- IN
- Taxonomy Description
- An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | 01039340A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E93636 | MEDICARE UPIN (02) | IN | |
| 190910 | MEDICARE PIN (08) | IN | |
| 000000226107 | OTHER (01) | IN | BLUE CROSS |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 100% | 711 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 98% | 199 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis | 100% | 200 |
| Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have an assessment and classification of disease prognosis at least once within 12 months | ||
| Rheumatoid Arthritis (RA): Functional Status Assessment | 100% | 202 |
| Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) for whom a functional status assessment was performed at least once within 12 months | ||
| Rheumatoid Arthritis (RA): Glucocorticoid Management | 100% | 204 |
| Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have been assessed for glucocorticoid use and, for those on prolonged doses of prednisone >= 10 mg daily (or equivalent) with improvement or no change in disease activity, documentation of glucocorticoid management plan within 12 months | ||
| Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity | 100% | 199 |
| Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have an assessment and classification of disease activity within 12 months | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124057419, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124057419, enumerated as an "individual" on July 01, 2006.
The provider is located at 100 NAVARRE PL SUITE 5570 SOUTH BEND, IN 46601 and the phone number is (574) 233-6620.
Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
