MRS. THERESA SABRINA BIRARDI D.O.
NPI 1881899300
Family Medicine in Claymont, DE
About Mrs. Theresa Sabrina Birardi D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. THERESA SABRINA BIRARDI D.O. (NPI 1881899300) is an individual family medicine provider in Claymont, Delaware, licensed in Delaware (C2-0013225) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2007).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Theresa Sabrina Birardi D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theresa Birardi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, DE 19803
- Reassigned Medicare billing, Delaware enrollment
- Also billed through NPI 1760811681 (Delaware)
- 1,531 clinicians in this Medicare group
Glen Mills, PA 19342
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLAYMONT, DE 19703
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 Theresa Birardi's NPI number?
The NPI number for Theresa Birardi is 1881899300. It was assigned to this individual provider in the NPPES registry on June 15, 2007.
Where is Theresa Birardi located?
Theresa Birardi practices at 2401 Philadelphia Pike, Claymont, DE 19703. The listed phone number is (302) 428-4110.
What is Theresa Birardi's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Theresa Birardi enrolled in Medicare?
Yes. Theresa Birardi 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.
Which organizations bill Medicare for Theresa Birardi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Birardi reassigns Medicare benefits to 2 organizations: Christiana Care Health Services, Inc (Wilmington, DE) and Prospect Health Access Network, Inc. (Glen Mills, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Birardi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Birardi accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Theresa Birardi 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.
When was this NPI record last updated?
The NPPES record for Theresa Birardi was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Theresa Sabrina Birardi, D.O. · NPI 1881899300
Family Medicine physician in Claymont, Delaware. Individual provider, active in the CMS NPPES registry since June 15, 2007.
## Identity
- **NPI:** 1881899300 (Entity type: Individual)
- **Enumerated:** June 15, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** C2-0013225 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 PHILADELPHIA PIKE, Claymont, DE 19703-2430
- **Phone:** (302) 428-4110 · **Fax:** (302) 798-6672
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Christiana Care Health Services, Inc (NPI 1619951068, Wilmington, DE); Prospect Health Access Network, Inc. (NPI 1083061006, Glen Mills, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2007
## Record status
- **NPPES last updated:** October 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1881899300) · Data from the CMS NPPES public registry.