JEFFREY RYAN BIRNBAUM MD
NPI 1679992242
Pediatrics - Pediatric Emergency Medicine in Los Angeles, CA

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
4650 SUNSET BLVD, MAIL STOP 113, LOS ANGELES, CA 90027(323) 361-2109 Get Directions Write a Review

NPPES record last updated: June 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2020, Feb 16, 2018, Jun 26, 2017 (3 updates tracked since 2017).

About Jeffrey Ryan Birnbaum Md NPPES

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

JEFFREY RYAN BIRNBAUM MD (NPI 1679992242) is an individual pediatric emergency medicine provider in Los Angeles, California, licensed in California (A167988) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2014).

NPPES Registry Identity

NPI1679992242
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameJEFFREY RYAN BIRNBAUMCredential: MD
Location Address4650 SUNSET BLVD, MAIL STOP 113Los Angeles, CA 90027-6062
Mailing Address4650 Sunset Blvd, Mail Stop 113Los Angeles, CA 90027-6062 · (323) 361-2109
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2014
Enumeration DateApril 10, 2014
Last NPPES UpdateJune 6, 20203 updates tracked since enumeration
NPPES CertifiedJune 6, 2020
NPI 1679992242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in CA · A167988
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 56537 (TN)
4650 SUNSET BLVD, Los Angeles, CA 90027

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

Jeffrey Ryan Birnbaum 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 ID749545853
PECOS Enrollment IDI20200618003072
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.

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.

Pediatrics (Neonatal-Perinatal Medicine)
4650 SUNSET BLVD
LOS ANGELES, CA 90027
Counselor (Mental Health)
4650 SUNSET BLVD, MAILSTOP 53
LOS ANGELES, CA 90027
Nurse Practitioner (Adult Health)
4650 SUNSET BLVD, MS 125
LOS ANGELES, CA 90027
Nurse Practitioner (Pediatrics)
4650 SUNSET BLVD, MAIL STOP #54
LOS ANGELES, CA 90027
Dietitian, Registered
4650 SUNSET BLVD, MAIL STOP 8
LOS ANGELES, CA 90027
Psychologist (Clinical Child & Adolescent)
4650 SUNSET BLVD, MS 53 CHILDRENS HOSPITAL LOS ANGELES
LOS ANGELES, CA 90027
Psychologist
4650 SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Pediatrics
4650 SUNSET BLVD
LOS ANGELES, CA 90027

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 Jeffrey Birnbaum's NPI number?

The NPI number for Jeffrey Birnbaum is 1679992242. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Jeffrey Birnbaum located?

Jeffrey Birnbaum practices at 4650 Sunset Blvd Mail Stop 113, Los Angeles, CA 90027. The listed phone number is (323) 361-2109.

What is Jeffrey Birnbaum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jeffrey Birnbaum enrolled in Medicare?

Yes. Jeffrey Birnbaum 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 Jeffrey Birnbaum was last updated on June 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.