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JULIUS BIRNBAUM
NPI 1932245842
Internal Medicine - Rheumatology in Pittsburgh, PA

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
580 S AIKEN AVE, PITTSBURGH, PA 15232(410) 955-3052 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2022, Apr 6, 2021 (2 updates tracked since 2021).

About Julius Birnbaum NPPES

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

JULIUS BIRNBAUM (NPI 1932245842) is an individual rheumatology provider in Pittsburgh, Pennsylvania, licensed in Maryland (D68093) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Columbia University College Of Physicians And Surgeons (1998).

NPPES Registry Identity

NPI1932245842
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJULIUS BIRNBAUM
Location Address580 S AIKEN AVEPittsburgh, PA 15232-1531
Mailing Address580 S Aiken AvePittsburgh, PA 15232-1531
Phone(410) 955-3052
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1998
Enumeration DateJanuary 29, 2007
Last NPPES UpdateNovember 22, 20222 updates tracked since enumeration
NPPES CertifiedNovember 22, 2022
✔ NPI 1932245842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MD · D68093
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
580 S AIKEN AVE, Pittsburgh, PA 15232
Open in Google Maps ↗

Other Identifiers 1

Medicaid1932245842PA

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

Julius Birnbaum 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 ID7113087800
PECOS Enrollment IDI20200611000066
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 4

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 with moderate level of decision making, if using time, 30 minutes or more 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.
41 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

BARBARA ANNE IVANKO LCSW
Social Worker (Clinical)
580 S AIKEN AVE
PITTSBURGH, PA 15232
Allegheny County (412) 623-3023
ANGELA MAKALINAO GUERRERO MD
Dermatology
580 S AIKEN AVE
PITTSBURGH, PA 15232
Allegheny County (412) 681-1072
DR. TAMMY DEGREGORIO D.M.D.
Dentist (General Practice)
580 S AIKEN AVE, SUITE 620
PITTSBURGH, PA 15232
Allegheny County (412) 621-5353
JEAN YOU PA-C
Physician Assistant
580 S AIKEN AVE
PITTSBURGH, PA 15232
Allegheny County (412) 681-1072
ANDREEA COCA MD
Internal Medicine (Rheumatology)
580 S AIKEN AVE
PITTSBURGH, PA 15232
Allegheny County (412) 586-3550
MRS. KATE WICHMANN SHERMAN LPC
Counselor (Professional)
580 S AIKEN AVE
PITTSBURGH, PA 15232
Allegheny County (412) 623-3023
NOAH BASS
Internal Medicine (Rheumatology)
580 S AIKEN AVE, SUITE 430
PITTSBURGH, PA 15232
Allegheny County (412) 682-2434
WOMENS GYNECOLOGIC ASSOCIATES, PC
Obstetrics & Gynecology (Gynecology)
580 S AIKEN AVE, SUITE 500
PITTSBURGH, PA 15232
Allegheny County (412) 688-3653

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 Julius Birnbaum's NPI number?

The NPI number for Julius Birnbaum is 1932245842. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Julius Birnbaum located?

Julius Birnbaum practices at 580 S Aiken Ave, Pittsburgh, PA 15232. The listed phone number is (410) 955-3052.

What is Julius Birnbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Julius Birnbaum enrolled in Medicare?

Yes. Julius 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.

Is Julius Birnbaum affiliated with any hospitals?

According to CMS data, Julius Birnbaum is affiliated with Upmc Mercy, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Julius Birnbaum was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.