DR. FITZGERALD BIRMINGHAM MD
NPI 1609846724
Internal Medicine in Washington, DC

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
106 IRVING ST NW, 4200, WASHINGTON, DC 20010(202) 877-5801(202) 829-0425 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Fitzgerald Birmingham Md NPPES

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

DR. FITZGERALD BIRMINGHAM MD (NPI 1609846724) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD20545) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1991).

NPPES Registry Identity

NPI1609846724
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. FITZGERALD BIRMINGHAMCredential: MD
Location Address106 IRVING ST NW, 4200Washington, DC 20010-2927
Mailing Address106 Irving St Nw, #4200Washington, DC 20010-2927 · (202) 877-5801 · Fax (202) 829-0425
Fax(202) 829-0425
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1991
Enumeration DateJanuary 23, 2006
Last NPPES UpdateSeptember 26, 2011
NPI 1609846724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DC · MD20545
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.

106 IRVING ST NW, Washington, DC 20010

Other Identifiers 2

OtherMD20545DC · License Number
Medicare UPINF99314DC

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

Dr. Fitzgerald Birmingham Md 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 ID8325029937
PECOS Enrollment IDI20040528000724
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 12

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 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.
1,142 services496 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
338 services338 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.
162 services121 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
89 services88 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
87 services86 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers53 claims144 services$6.22 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers26 claims33 services$1.18 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers20 claims20 services$4.17 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers13 claims13 services$190.59 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 20

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

Ophthalmology
106 IRVING ST NW, SUITE 321
WASHINGTON, DC 20010
Internal Medicine
106 IRVING ST NW, SUITE 421-SOUTH
WASHINGTON, DC 20010
Internal Medicine (Cardiovascular Disease)
106 IRVING ST NW, SUITE 1500 NORTH TOWER
WASHINGTON, DC 20010
Midwife
106 IRVING ST NW, SUITE 4700 NORTH
WASHINGTON, DC 20010
Internal Medicine (Nephrology)
106 IRVING ST NW, STE 418
WASHINGTON, DC 20010
Surgery (Surgical Oncology)
106 IRVING ST NW, SUITE N-3900
WASHINGTON, DC 20010
Surgery (Surgical Oncology)
106 IRVING ST NW, SUITE N-3900
WASHINGTON, DC 20010
Internal Medicine (Nephrology)
106 IRVING ST NW, SUITE 418
WASHINGTON, DC 20010

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 Fitzgerald Birmingham's NPI number?

The NPI number for Fitzgerald Birmingham is 1609846724. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Fitzgerald Birmingham located?

Fitzgerald Birmingham practices at 106 Irving St NW 4200, Washington, DC 20010. The listed phone number is (202) 877-5801.

What is Fitzgerald Birmingham's specialty?

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

Is Fitzgerald Birmingham enrolled in Medicare?

Yes. Fitzgerald Birmingham 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.

When was this NPI record last updated?

The NPPES record for Fitzgerald Birmingham was last updated on September 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.