DANIELLE N. BIRMINGHAM M.D.
NPI 1174817431
Anesthesiology in Worcester, MA
About Danielle N. Birmingham M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIELLE N. BIRMINGHAM M.D. (NPI 1174817431) is an individual anesthesiology provider in Worcester, Massachusetts, licensed in Massachusetts (268846) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Tufts University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
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
Danielle N. Birmingham 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.
Medicare Billing Reassignments
2Medicare enrollment records show Danielle Birmingham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Gardner, MA 01440
- Reassigned Medicare billing, Massachusetts enrollment
- 344 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Heywood Hospital
Acute Care Hospitals · Gardner, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Danielle Birmingham's NPI number?
The NPI number for Danielle Birmingham is 1174817431. It was assigned to this individual provider in the NPPES registry on June 4, 2011. The provider is also known as Danielle Sorenson M.D..
Where is Danielle Birmingham located?
Danielle Birmingham practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-3271.
What is Danielle Birmingham's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Danielle Birmingham enrolled in Medicare?
Yes. Danielle Birmingham 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 Danielle Birmingham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Birmingham reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and Henry Heywood Memorial Hospital (Gardner, MA). 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 Danielle Birmingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Danielle Birmingham accept?
Health plans from Taro Health list Danielle Birmingham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Danielle Birmingham affiliated with any hospitals?
According to CMS data, Danielle Birmingham is affiliated with Heywood Hospital and Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Danielle Birmingham was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Danielle N. Birmingham, M.D. · NPI 1174817431
Anesthesiology physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since June 4, 2011.
## Identity
- **NPI:** 1174817431 (Entity type: Individual)
- **Enumerated:** June 4, 2011
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 268846 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 334-3271 · **Fax:** (508) 856-5911
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA); Henry Heywood Memorial Hospital (NPI 1205448701, Gardner, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** November 19, 2020
- **Other identifiers:** Medicaid 110119038A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174817431) · Data from the CMS NPPES public registry.