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MR. DERRICK L BIRMINGHAM RPA
NPI 1952336380
Physician Assistant in Bronx, NY

Active since July 12, 2006PECOS Enrolled
100/100
CMS Quality Rating
1957 WILLIAMSBRIDGE RD, BRONX, NY 10461(718) 828-6060(718) 792-1960 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Derrick L Birmingham Rpa NPPES

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

MR. DERRICK L BIRMINGHAM RPA (NPI 1952336380) is an individual physician assistant in Bronx, New York, licensed in New York (003897-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1952336380
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DERRICK L BIRMINGHAMCredential: RPA
Location Address1957 WILLIAMSBRIDGE RDBronx, NY 10461-1604
Mailing Address1957 Williamsbridge RdBronx, NY 10461-1604 · (718) 828-6060 · Fax (718) 792-1960
Phone(718) 828-6060
Fax(718) 792-1960
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 12, 2006
Last NPPES UpdateOctober 8, 2013
✔ NPI 1952336380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 003897-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1957 WILLIAMSBRIDGE RD, Bronx, NY 10461
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Other Identifiers 3

Medicare PIN6303LAC701NY
Medicaid00245643NY
Medicaid02867449NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Derrick L Birmingham Rpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557362514
PECOS Enrollment IDI20070118000451
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.

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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

Referred Medical Equipment & Supplies CMS DME claims

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
6 suppliers22 claims35 services$5.91 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 4

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

CARLOS DANIEL DRIGGS
Nurse Practitioner (Family)
1957 WILLIAMSBRIDGE RD
BRONX, NY 10461
Bronx County (718) 828-6060
WE CARE HEALTH & MEDICAL SERVICES, P.C.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1957 WILLIAMSBRIDGE RD
BRONX, NY 10461
Bronx County (718) 828-6060
DR. CARLOS FELIX DRIGGS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1957 WILLIAMSBRIDGE RD
BRONX, NY 10461
Bronx County (718) 828-6060
DIANA MATTA DPM PLLC
Clinic/Center (Podiatric)
1957 WILLIAMSBRIDGE RD
BRONX, NY 10461
Bronx County (845) 590-3408

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 Derrick Birmingham's NPI number?

The NPI number for Derrick Birmingham is 1952336380. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Derrick Birmingham located?

Derrick Birmingham practices at 1957 Williamsbridge Rd, Bronx, NY 10461. The listed phone number is (718) 828-6060.

What is Derrick Birmingham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Derrick Birmingham enrolled in Medicare?

Yes. Derrick Birmingham is registered in the Medicare PECOS enrollment system.

Is Derrick Birmingham affiliated with any hospitals?

According to CMS data, Derrick Birmingham is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Derrick Birmingham was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.