MR. ANIL BIRDI M.D
NPI 1598022873
Ophthalmology in Toms River, NJ

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
20 MULE RD, TOMS RIVER, NJ 08755(732) 349-5622 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Anil Birdi M.d NPPES

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

MR. ANIL BIRDI M.D (NPI 1598022873) is an individual ophthalmology provider in Toms River, New Jersey, licensed in New Jersey (25MA09815600) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Ohio State University College Of Medicine (2012).

NPPES Registry Identity

NPI1598022873
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. ANIL BIRDICredential: M.D
Location Address20 MULE RDToms River, NJ 08755-5028
Mailing Address20 Mule RdToms River, NJ 08755-5028 · (732) 349-5622
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateApril 12, 2017
NPI 1598022873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA09815600
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
20 MULE RD, Toms River, NJ 08755

Other Identifiers 1

Medicare UPIN486287DKXNJ

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. Anil Birdi M.d 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 ID1456659820
PECOS Enrollment IDI20160419000443
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 26

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
741 services698 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
675 services496 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
472 services180 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
342 services304 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
253 services143 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
209 services209 patients

Hospital Affiliations CMS Care Compare 2

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.37
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Durable Medical Equipment & Medical Supplies
20 MULE RD
TOMS RIVER, NJ 08755
Optometrist
20 MULE RD
TOMS RIVER, NJ 08755
Eyewear Supplier
20 MULE RD
TOMS RIVER, NJ 08755
Ophthalmology
20 MULE RD
TOMS RIVER, NJ 08755
Optometrist
20 MULE RD
TOMS RIVER, NJ 08755
Optometrist
20 MULE RD
TOMS RIVER, NJ 08755
Ophthalmology
20 MULE RD
TOMS RIVER, NJ 08755
Optometrist
20 MULE RD
TOMS RIVER, NJ 08755

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 Anil Birdi's NPI number?

The NPI number for Anil Birdi is 1598022873. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Anil Birdi located?

Anil Birdi practices at 20 Mule Rd, Toms River, NJ 08755. The listed phone number is (732) 349-5622.

What is Anil Birdi's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Anil Birdi enrolled in Medicare?

Yes. Anil Birdi 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 Anil Birdi accept?

Health plans from Providence Health Plan list Anil Birdi 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 Anil Birdi affiliated with any hospitals?

According to CMS data, Anil Birdi is affiliated with Community Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Anil Birdi was last updated on April 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.