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JOSHUA TERRY BIRNBAUM
NPI 1396042727
Internal Medicine in Baltimore, MD

Active since February 21, 2011PECOS Enrolled
76.58/100
CMS Quality Rating
2435 W BELVEDERE AVE STE 56, BALTIMORE, MD 21215(410) 601-6419(410) 601-0939 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joshua Terry Birnbaum NPPES

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

JOSHUA TERRY BIRNBAUM (NPI 1396042727) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D74715) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1396042727
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSHUA TERRY BIRNBAUM
Location Address2435 W BELVEDERE AVE STE 56Baltimore, MD 21215-5224
Mailing Address2435 W Belvedere Ave Ste 56Baltimore, MD 21215-5224 · (410) 601-6419 · Fax (410) 601-0939
Phone(410) 601-6419
Fax(410) 601-0939
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 21, 2011
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1396042727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D74715
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2435 W BELVEDERE AVE STE 56, Baltimore, MD 21215
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Terry Birnbaum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749437747
PECOS Enrollment IDI20120827000570
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 5

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.
525 services182 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
69 services67 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.
32 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210040
Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.56
Promoting Interoperability100
Improvement Activities40
Cost48.54

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$15.14 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers16 claims16 services$7.71 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 4

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

DR. NGOZI OKEKE ESSANDOH MD
Internal Medicine
2435 W BELVEDERE AVE STE 56
BALTIMORE, MD 21215
Baltimore City (410) 601-6419
PARTH JAMINDAR MD
Internal Medicine
2435 W BELVEDERE AVE STE 56
BALTIMORE, MD 21215
Baltimore City (410) 601-5200
FRANCISCO XAVIER RIVERA M.D.
Internal Medicine
2435 W BELVEDERE AVE STE 56
BALTIMORE, MD 21215
Baltimore City (410) 601-0594
DR. BAMLAK G HAILE M.D.
Internal Medicine
2435 W BELVEDERE AVE STE 56
BALTIMORE, MD 21215
Baltimore City (410) 601-0939

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 Joshua Birnbaum's NPI number?

The NPI number for Joshua Birnbaum is 1396042727. It was assigned to this individual provider in the NPPES registry on February 21, 2011.

Where is Joshua Birnbaum located?

Joshua Birnbaum practices at 2435 W Belvedere Ave Ste 56, Baltimore, MD 21215. The listed phone number is (410) 601-6419.

What is Joshua Birnbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joshua Birnbaum enrolled in Medicare?

Yes. Joshua Birnbaum is registered in the Medicare PECOS enrollment system.

Is Joshua Birnbaum affiliated with any hospitals?

According to CMS data, Joshua Birnbaum is affiliated with Sinai Hospital Of Baltimore and Northwest Hospital Center.

When was this NPI record last updated?

The NPPES record for Joshua Birnbaum was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.