DR. DANIEL BIRNBAUM D.O.
NPI 1538421433
Psychiatry & Neurology - Epilepsy in Philadelphia, PA

NPI Status: Active since June 15, 2012

Contact Information

5401 OLD YORK RD
KLEIN 404
PHILADELPHIA, PA
ZIP 19141
Phone: (215) 456-7190
Fax: (215) 456-7308

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Epilepsy
  • Accepts Insurance
  • PECOS Enrolled

About DANIEL BIRNBAUM

This page provides the complete NPI Profile along with additional information for Daniel Birnbaum, a provider established in Philadelphia, Pennsylvania with a medical specialization in Psychiatry & Neurology, focusing in epilepsy . The healthcare provider is registered in the NPI registry with number 1538421433 assigned on June 2012. The practitioner's primary taxonomy code is 2084E0001X with license number OS019440 (PA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1538421433
Provider Name
DR. DANIEL BIRNBAUM D.O.
Gender
Male
Entity Type
Individual
Location Address
5401 OLD YORK RD KLEIN 404 PHILADELPHIA, PA 19141
Location Phone
(215) 456-7190
Location Fax
(215) 456-7308
Mailing Address
7400 MERTON MINTER ST SAN ANTONIO, TX 78229
Is Sole Proprietor?
No
Enumeration Date
06-15-2012
Last Update Date
10-20-2023
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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 Epilepsy

Taxonomy Code
2084E0001X
Type
Allopathic & Osteopathic Physicians
License No.
OS019440
License State
PA
Taxonomy Description
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Daniel Birnbaum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

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.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

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

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.

This service was performed 27 times for 24 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 28 times for 25 patients

Follow-up hospital inpatient care per day, typically 15 minutes

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.

This service was performed 27 times for 24 patients

Follow-up hospital inpatient care per day, typically 25 minutes

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.

This service was performed 18 times for 13 patients

Follow-up hospital inpatient care per day, typically 35 minutes

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.

This service was performed 24 times for 16 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 30 times for 29 patients

Initial hospital inpatient care per day, typically 50 minutes

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.

This service was performed 26 times for 26 patients

Initial hospital inpatient care per day, typically 70 minutes

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.

This service was performed 23 times for 23 patients

Measurement of brain wave activity (eeg), 41-60 minutes

This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.

This service was performed 26 times for 26 patients

Measurement of brain wave activity (eeg), awake and asleep

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

This service was performed 31 times for 30 patients

Measurement of brain wave activity (eeg), awake and drowsy

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

This service was performed 20 times for 20 patients

Measurement of brain wave activity (eeg), in coma or asleep

The measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This is done when you're asleep or in a coma, to help understand brain function and identify any abnormalities.

This service was performed 14 times for 14 patients

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional

This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.

This service was performed 32 times for 19 patients

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

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.

This service was performed 11 times for 11 patients

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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 1538421433, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 3 → 6 4 → 8 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 8 + 2 + 2 + 4 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1538421433.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
5401 OLD YORK RD, SUITE 200
PHILADELPHIA, PA 19141
Internal Medicine (Cardiovascular Disease)
5401 OLD YORK RD, KLEIN BUILDING, SUITE 401
PHILADELPHIA, PA 19141
Urology
5401 OLD YORK RD, SUITE 200
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Neurology)
5401 OLD YORK RD, SUITE 300
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Neurology)
5401 OLD YORK RD, SUITE 300
PHILADELPHIA, PA 19141
Internal Medicine (Infectious Disease)
5401 OLD YORK RD, KLEIN BUILDING SUITE 331
PHILADELPHIA, PA 19141
Transplant Surgery
5401 OLD YORK RD, KLEIN BLDG STE 509
PHILADELPHIA, PA 19141
Internal Medicine (Interventional Cardiology)
5401 OLD YORK RD, KLEIN 404
PHILA, PA 19141
Internal Medicine (Pulmonary Disease)
5401 OLD YORK RD, KLEIN BLDG STE 331
PHILADELPHIA, PA 19141
Internal Medicine
5401 OLD YORK RD, KLEIN STE 363
PHILADELPHIA, PA 19141
Internal Medicine
5401 OLD YORK RD, KLEIN BLDG SUITE 363
PHILADELPHIA, PA 19141
Internal Medicine (Pulmonary Disease)
5401 OLD YORK RD, SUITE 363 - KLEIN BLDG
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Neurology)
5401 OLD YORK RD, SUITE 405
PHILADELPHIA, PA 19141
Orthopaedic Surgery
5401 OLD YORK RD, STE 200
PHILADELPHIA, PA 19141
Internal Medicine
5401 OLD YORK RD, KLEIN 331
PHILA, PA 19141
Neurological Surgery
5401 OLD YORK RD, SUITE 501
PHILA, PA 19141
Internal Medicine (Cardiovascular Disease)
5401 OLD YORK RD, KLEIN BUILDING, SUITE 401
PHILADELPHIA, PA 19141
Internal Medicine (Cardiovascular Disease)
5401 OLD YORK RD, KLEIN 404
PHILA, PA 19141
Optometrist
5401 OLD YORK RD, KLEIN BLDG. STE 205
PHILADELPHIA, PA 19141
Surgery
5401 OLD YORK RD
PHILADELPHIA, PA 19141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538421433, enumerated as an "individual" on June 15, 2012.

The provider is located at 5401 OLD YORK RD KLEIN 404 PHILADELPHIA, PA 19141 and the phone number is (215) 456-7190.

Psychiatry & Neurology with taxonomy code 2084E0001X and a focus in Epilepsy .

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.