RESHMA M BINIWALE MD
NPI 1972676120
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Los Angeles, CA

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
200 UCLA MEDICAL PLZ STE 330, LOS ANGELES, CA 90095(310) 206-6700(310) 825-9524 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reshma M Biniwale Md NPPES

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

RESHMA M BINIWALE MD (NPI 1972676120) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Los Angeles, California, licensed in California (C53360) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1972676120
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameRESHMA M BINIWALECredential: MD
Location Address200 UCLA MEDICAL PLZ STE 330Los Angeles, CA 90095-1741
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631
Fax(310) 825-9524
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 16, 2006
Last NPPES UpdateNovember 18, 2019
NPI 1972676120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in CA · C53360
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

200 UCLA MEDICAL PLZ STE 330, Los Angeles, CA 90095

Secondary Practice Locations 2

Location 1100 Ucla Medical Plaza Suite 630Los Angeles, CA 90095-1741 · Phone (310) 983-3323 · Fax (310) 825-9013
Location 210833 Le Conte Ave, RM# 62-182Los Angeles, CA 90095-1741 · Phone (310) 825-9820 · Fax (310) 206-3506

Other Identifiers 1

Medicaid00C533600CA

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

Reshma M Biniwale 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 ID4789720822
PECOS Enrollment IDI20091005000116
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

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.

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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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
Quality95.72
Promoting Interoperability100
Improvement Activities40
Cost81.58

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Pediatrics)
200 UCLA MEDICAL PLZ STE 330
LOS ANGELES, CA 90095
Pediatrics
200 UCLA MEDICAL PLZ STE 330
LOS ANGELES, CA 90095
Thoracic Surgery (Cardiothoracic Vascular Surgery)
200 UCLA MEDICAL PLZ STE 330
LOS ANGELES, CA 90095
Pediatrics (Pediatric Cardiology)
200 UCLA MEDICAL PLZ STE 330
LOS ANGELES, CA 90095
Pediatrics (Pediatric Cardiology)
200 UCLA MEDICAL PLZ STE 330
LOS ANGELES, CA 90095
Pediatrics (Pediatric Cardiology)
200 UCLA MEDICAL PLZ STE 330
LOS ANGELES, CA 90095
Nurse Practitioner
200 UCLA MEDICAL PLZ STE 330
LOS ANGELES, CA 90095
Nurse Practitioner (Family)
200 UCLA MEDICAL PLZ STE 330
LOS ANGELES, CA 90095

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 Reshma Biniwale's NPI number?

The NPI number for Reshma Biniwale is 1972676120. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Reshma Biniwale located?

Reshma Biniwale practices at 200 Ucla Medical Plz Ste 330, Los Angeles, CA 90095. The listed phone number is (310) 206-6700.

What is Reshma Biniwale's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Reshma Biniwale enrolled in Medicare?

Yes. Reshma Biniwale 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 Reshma Biniwale was last updated on November 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.