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JULIA A BIRNBAUM MD
NPI 1922036011
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
800 SPRUCE STREET, PHILADELPHIA, PA 19107(215) 829-3201(215) 829-5697 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Julia A Birnbaum Md NPPES

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

JULIA A BIRNBAUM MD (NPI 1922036011) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD065540L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1922036011
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameJULIA A BIRNBAUMCredential: MD
Location Address800 SPRUCE STREETPhiladelphia, PA 19107-6130
Mailing Address3400 Civic Center Blvd, Ground FloorPhiladelphia, PA 19104 · (215) 829-3201 · Fax (215) 829-5697
Phone(215) 829-3201
Fax(215) 829-5697
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 29, 2006
Last NPPES UpdateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1922036011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in PA · MD065540L
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License MD065540L (PA)
800 SPRUCE STREET, Philadelphia, PA 19107
Open in Google Maps ↗

Other Identifiers 1

Medicaid0016971780001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Julia A 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 ID3577453273
PECOS Enrollment IDI20040317000466, I20161103001409
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Julia Birnbaum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn - Medical Group
9.1 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
595 W STATE ST STE 207
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1538056163 (215) 345-2100
Clinical Health Care Associates Of New Jersey, PC
18 mi
Obstetrics & Gynecology
1203 LANGHORNE NEWTOWN RD STE 226
Langhorne, PA 19047
  • Reassigned Medicare billing, New Jersey enrollment
  • Also billed through NPI 1508019241 (New Jersey)
  • 793 clinicians in this Medicare group
NPI 1538728357 (610) 902-1730

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 11

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
342 services342 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
341 services341 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
152 services150 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
88 services88 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
72 services72 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
68 services68 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

DR. NICHOLAS KIAN MOLLANAZAR MD, MBA
Dermatology
800 SPRUCE STREET, 10TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (941) 718-8997
MARYGRACE HEGARTY PA-C
Physician Assistant
800 SPRUCE STREET, PINE 1 WEST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-7817
SARAH ELIZABETH NABER PA-C
Physician Assistant
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Philadelphia County (215) 662-7320
BETH AMY SCOTT DO
Radiology (Diagnostic Radiology)
800 SPRUCE STREET, 2 SCHIEDT
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6079
YVONNE ROTTEVEEL CRNA
Nurse Anesthetist, Certified Registered
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3867
MALATHY SRINIVASAN MD
Physical Medicine & Rehabilitation
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-7923
JOHN SJ BROOKS MD
Pathology (Anatomic Pathology & Clinical Pathology)
800 SPRUCE STREET, 6 PRESTON
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3541
DR. IMMANUEL KING HANG HO MD
Internal Medicine (Gastroenterology)
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3000

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 Julia Birnbaum's NPI number?

The NPI number for Julia Birnbaum is 1922036011. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Julia Birnbaum located?

Julia Birnbaum practices at 800 Spruce Street, Philadelphia, PA 19107. The listed phone number is (215) 829-3201.

What is Julia Birnbaum's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Julia Birnbaum enrolled in Medicare?

Yes. Julia 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.

Which organizations bill Medicare for Julia Birnbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julia Birnbaum reassigns Medicare benefits to 2 organizations: University Of Penn - Medical Group (Doylestown, PA) and Clinical Health Care Associates Of New Jersey, PC (Langhorne, 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 Julia Birnbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julia Birnbaum accept?

Health plans from Oscar Health list Julia Birnbaum 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 Julia Birnbaum affiliated with any hospitals?

According to CMS data, Julia Birnbaum is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Julia Birnbaum was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.