MR. RUEMU E BIRHIRAY MD
NPI 1295735058
Internal Medicine - Hematology & Oncology in Indianapolis, IN

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
8301 HARCOURT RD, SUITE #200, INDIANAPOLIS, IN 46260(317) 415-6600(317) 415-6649 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 30, 2022, Jul 2, 2021, May 22, 2020 and 1 more (4 updates tracked since 2019).

About Mr. Ruemu E Birhiray Md NPPES

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

MR. RUEMU E BIRHIRAY MD (NPI 1295735058) is an individual hematology & oncology provider in Indianapolis, Indiana, licensed in Indiana (01053068) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1295735058
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMR. RUEMU E BIRHIRAYCredential: MD
Location Address8301 HARCOURT RD, SUITE #200Indianapolis, IN 46260-2081
Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (239) 432-8331 · Fax (813) 321-1296
Fax(317) 415-6649
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 22, 2005
Last NPPES UpdateDecember 30, 20224 updates tracked since enumeration
NPPES CertifiedDecember 30, 2022
NPI 1295735058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in IN · 01053068
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 01053068 (IN)
8301 HARCOURT RD, Indianapolis, IN 46260

Other Identifiers 1

Medicaid200287890IN

Accepted Insurance

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

Mr. Ruemu E Birhiray Md 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 ID4981638673
PECOS Enrollment IDI20050922000123
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 38

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.

Injection, aprepitant, 1 mg J0185
Aprepitant injection is a medication used to prevent nausea and vomiting caused by chemotherapy. It works by blocking certain substances in the brain that trigger these symptoms. The dosage is based on your medical condition and response to treatment.
19,240 services33 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
17,940 services132 patients
Injection, epoetin alfa, (for non-esrd use), 1000 units J0885
Epoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.
7,690 services21 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,719 services48 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
2,700 services24 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.
2,380 services702 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Riverview Health

Acute Care Hospitals · Noblesville, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150059
Location395 Westfield RdNoblesville, IN 46060 · Hamilton County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150157
Location13500 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Ascension St Vincent Fishers

Acute Care Hospitals · Fishers, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150181
Location13861 Olio RoadFishers, IN 46037 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
20%942 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
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.
100%6,727 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
0%3,034 patients1/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
5%20 patients1/55-star benchmark: 98%
Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry
Percentage of patients aged 18 years and older, seen within a 12 month reporting period, with a diagnosis of chronic lymphocytic leukemia (CLL) made at any time during or prior to the reporting period who had baseline flow cytometry studies performed and…
43%30 patients
Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow
Percentage of patients aged 18 years and older with a diagnosis of myelodysplastic syndrome (MDS) or an acute leukemia who had baseline cytogenetic testing performed on bone marrow
11%27 patients
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%473 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%2,910 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%4,718 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%2,301 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
41%1,994 patients2/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,519 patients
Patients tobacco: 64% · 168 patients
96%1,519 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
33%2,301 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
33%2,301 patients2/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,011 patients
3%1,011 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier50 claims3,780 services$0.77 avg. paid by Medicare
Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier23 claims6,543 services$0.30 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
2 suppliers11 claims25 services$35.31 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier48 claims48 services$18.11 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier32 claims35 services$12.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Hematology & Oncology)
8301 HARCOURT RD, SUITE #200
INDIANAPOLIS, IN 46260
Internal Medicine (Hematology & Oncology)
8301 HARCOURT RD, STE 200
INDIANAPOLIS, IN 46260
Obstetrics & Gynecology (Gynecologic Oncology)
8301 HARCOURT RD, STE 201
INDIANAPOLIS, IN 46260
Nurse Practitioner
8301 HARCOURT RD, SUITE 205
INDIANAPOLIS, IN 46260
Radiology (Radiation Oncology)
8301 HARCOURT RD
INDIANAPOLIS, IN 46260
Radiology (Radiation Oncology)
8301 HARCOURT RD
INDIANAPOLIS, IN 46260
Internal Medicine (Hematology & Oncology)
8301 HARCOURT RD, SUITE 205
INDIANAPOLIS, IN 46260
Durable Medical Equipment & Medical Supplies
8301 HARCOURT RD, SUITE 205
INDIANAPOLIS, IN 46260

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 Ruemu Birhiray's NPI number?

The NPI number for Ruemu Birhiray is 1295735058. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Ruemu Birhiray located?

Ruemu Birhiray practices at 8301 Harcourt Rd Suite #200, Indianapolis, IN 46260. The listed phone number is (317) 415-6600.

What is Ruemu Birhiray's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ruemu Birhiray enrolled in Medicare?

Yes. Ruemu Birhiray 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.

What insurance does Ruemu Birhiray accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 4 other insurers list Ruemu Birhiray 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 Ruemu Birhiray affiliated with any hospitals?

According to CMS data, Ruemu Birhiray is affiliated with Ascension St Vincent Kokomo, Riverview Health, Ascension St Vincent Hospital, Ascension St Vincent Carmel and Ascension St Vincent Fishers.

When was this NPI record last updated?

The NPPES record for Ruemu Birhiray was last updated on December 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.