ELLIOTT A BIRNSTEIN M.D.
NPI 1265703300
Internal Medicine - Gastroenterology in Los Angeles, CA

Q: What is Elliott Birnstein's NPI number?

The NPI number for Elliott Birnstein is 1265703300. It was assigned to this individual provider in the NPPES registry on January 20, 2012.

Q: What is Elliott Birnstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Elliott Birnstein was last updated on March 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 20, 2012PECOS EnrolledAccepts Medicare Assignment

86.1/100

CMS Quality Rating

700 W 7TH ST # S270-D, LOS ANGELES, CA 90017(213) 988-8380 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2021, Jun 18, 2020, Oct 16, 2018 (3 updates tracked since 2018).

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About Elliott A Birnstein M.d. NPPES

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

ELLIOTT A BIRNSTEIN M.D. (NPI 1265703300) is an individual gastroenterology provider in Los Angeles, California, licensed in California (A122533) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265703300

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameELLIOTT A BIRNSTEINCredential: M.D.

Location Address700 W 7TH ST # S270-DLos Angeles, CA 90017-3768

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8771

Phone(213) 988-8380

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJanuary 20, 2012

Last NPPES UpdateMarch 23, 20213 updates tracked since enumeration

NPPES CertifiedMarch 23, 2021

✔ NPI 1265703300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in CA · A122533✔ Licensed in SC · 84078

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

700 W 7TH ST # S270-D, Los Angeles, CA 90017

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Secondary Practice Locations 3

Location 12403 Castillo St Ste 201Santa Barbara, CA 93105 · Phone (805) 682-3585

Location 21200 N State St, CT-A7DLos Angeles, CA 90033-1029 · Phone (323) 226-7556 · Fax (323) 226-3867

Location 33 Richland Medical Park Dr Ste 120Columbia, SC 29203-6850 · Phone (803) 434-8866

Other Identifiers 1

Other113820CA · Sid # 113820

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

Elliott A Birnstein 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 ID9335494681

PECOS Enrollment IDI20231218003077

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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

133 services84 patients

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.

102 services83 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

95 services93 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.

60 services43 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

51 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

37 services36 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

29 services29 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

27 services26 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

26 services26 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

22 services22 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

19 services18 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330182

Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County

Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330286

Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Medicare 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.

86.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.93

Promoting Interoperability

100

Improvement Activities

Cost

66.73

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Other Providers at the Same Location NPPES 4

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

NEGAR COHEN KAHEN MD

Internal Medicine

700 W 7TH ST # S270-D
LOS ANGELES, CA 90017

Los Angeles County (213) 988-8380

CHEN XIE M.D.

Internal Medicine (Rheumatology)

700 W 7TH ST # S270-D
LOS ANGELES, CA 90017

Los Angeles County (213) 988-8380

ALISA CORINA CHALMERS

Internal Medicine

700 W 7TH ST # S270-D
LOS ANGELES, CA 90017

Los Angeles County (213) 988-8380

DR. JOHNATHAN KAO M.D., M.P.H.

Internal Medicine

700 W 7TH ST # S270-D
LOS ANGELES, CA 90017

Los Angeles County (310) 205-7310

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 Elliott Birnstein's NPI number?

The NPI number for Elliott Birnstein is 1265703300. It was assigned to this individual provider in the NPPES registry on January 20, 2012.

Where is Elliott Birnstein located?

Elliott Birnstein practices at 700 W 7th St # S270-D, Los Angeles, CA 90017. The listed phone number is (213) 988-8380.

What is Elliott Birnstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Elliott Birnstein enrolled in Medicare?

Yes. Elliott Birnstein 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.

Is Elliott Birnstein affiliated with any hospitals?

According to CMS data, Elliott Birnstein is affiliated with St Francis Hospital - The Heart Center and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Elliott Birnstein was last updated on March 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.