DR. NEAL SHELDON BIRNBAUM M.D.
NPI 1437142882
Internal Medicine - Rheumatology in San Rafael, CA

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

Active since August 31, 2005PECOS Enrolled

75/100

CMS Quality Rating

4000 CIVIC CENTER DR STE 200A, SAN RAFAEL, CA 94903(415) 464-9604(415) 464-0171 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Neal Sheldon Birnbaum M.d. NPPES

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

DR. NEAL SHELDON BIRNBAUM M.D. (NPI 1437142882) is an individual rheumatology provider in San Rafael, California, licensed in California (C36561) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Ohio State University College Of Medicine (1970).

NPPES Registry Identity

NPI1437142882

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. NEAL SHELDON BIRNBAUMCredential: M.D.

Location Address4000 CIVIC CENTER DR STE 200ASan Rafael, CA 94903-5233

Mailing Address4000 Civic Center Dr Ste 200aSan Rafael, CA 94903-5233 · (415) 464-9604 · Fax (415) 464-0171

Phone(415) 464-9604

Fax(415) 464-0171

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1970

Enumeration DateAugust 31, 2005

Last NPPES UpdateMarch 14, 2025

NPPES CertifiedMarch 14, 2025

✔ NPI 1437142882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in CA · C36561

Definition

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.

4000 CIVIC CENTER DR STE 200A, San Rafael, CA 94903

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Secondary Practice Location 1

Location 12100 Webster St, STE 112San Francisco, CA 94115-2373 · Phone (415) 923-3060 · Fax (415) 749-0841

Other Identifiers 1

MedicaidGR0046000CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Neal Sheldon Birnbaum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698857415

PECOS Enrollment IDI20080508000289

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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

19,957 services23 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.

1,380 services14 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

233 services41 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

224 services137 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

200 services126 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

148 services40 patients

Injection, zoledronic acid, 1 mg J3489

Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.

65 services13 patients

New patient office or other outpatient visit, 45-59 minutes 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.

43 services43 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

39 services25 patients

New patient office or other outpatient visit, 60-74 minutes 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

28 services28 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

18 services13 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services12 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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

$154.04 typical visit price

range $69.07 – $202.63

Typical copayment $38.51 (range $17.26 – $50.65)

Most-billed visit code 99204

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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.

75/100

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

Scored as part of a group practice

Other Providers at the Same Location NPPES 3

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

CHRISTINE YIM O.D.

Optometrist

4000 CIVIC CENTER DR STE 200A
SAN RAFAEL, CA 94903

Marin County (415) 519-6582

TARIK ISSAM DABIT

Optometrist

4000 CIVIC CENTER DR STE 200A
SAN RAFAEL, CA 94903

Marin County (650) 219-1659

IZZA BAZIGH M.D

Internal Medicine (Rheumatology)

4000 CIVIC CENTER DR STE 200A
SAN RAFAEL, CA 94903

Marin County (415) 464-0171

DR. NEAL SHELDON BIRNBAUM M.D.
NPI 1437142882
Internal Medicine - Rheumatology in San Rafael, CA

About Dr. Neal Sheldon Birnbaum M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Secondary Practice Location 1

Other Identifiers 1

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 13

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Other Providers at the Same Location NPPES 3

Frequently Asked Questions

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