DR. ROBERT J BIRNBAUM MD, PHD
NPI 1538140827
Psychiatry & Neurology - Psychiatry in Boston, MA
NPI Status: Active since November 14, 2005
Contact Information
55 FRUIT ST WAC 812
MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA
ZIP 02114
Phone: (617) 724-6300
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- Opted-Out Medicare
About ROBERT BIRNBAUM
This page provides the complete NPI Profile along with additional information for Robert Birnbaum, a provider established in Boston, Massachusetts with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1538140827 assigned on November 2005. The practitioner's primary taxonomy code is 2084P0800X with license number 56503 (MA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1538140827
- Provider Name
- DR. ROBERT J BIRNBAUM MD, PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 55 FRUIT ST WAC 812 MASSACHUSETTS GENERAL HOSPITAL BOSTON, MA 02114
- Location Phone
- (617) 724-6300
- Mailing Address
- PO BOX 9142 MASS. GENERAL PHYSICIAN ORGANIZATION CHARLESTOWN, MA 02129
- Mailing Phone
- (617) 724-0287
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-14-2005
- Last Update Date
- 07-08-2007
- Code Navigator
A psychiatrist like Robert Birnbaum are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Robert Birnbaum opted out of Medicare effective on 12-04-2020 until 12-04-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 56503
- License State
- MA
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C57155 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-04-2020
Opt-Out End Date: 12-04-2026
Eligible to Order and Refer? No
Reviews for DR. ROBERT J BIRNBAUM MD, PHD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1538140827, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BOSTON, MA 02114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538140827, enumerated as an "individual" on November 14, 2005.
The provider is located at 55 FRUIT ST WAC 812 MASSACHUSETTS GENERAL HOSPITAL BOSTON, MA 02114 and the phone number is (617) 724-6300.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
The provider might be accepting Accepts: Harvard Pilgrim Health Care, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
