NPPES file of Aug 9, 2026

Belinda K. Birnbaum, MD

Rheumatology Physician · Philadelphia, PA

Belinda K. Birnbaum, MD is a rheumatology physician with a practice address in Philadelphia, Pennsylvania, and NPI 1669469573, issued on Oct 5, 2005. Check the license (Pennsylvania MD426273, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1669469573
Name
Belinda K. Birnbaum
Credential
MD
Primary taxonomy
Rheumatology Physician 207RR0500X
License number
MD426273 PA
Self-reported in NPPES; status is on the state search
Practice location
3400 Civic Center Blvd, Philadelphia, PA 19104
Phone
(215) 662-2454
Enumerated
Oct 5, 2005
Record last updated
Mar 21, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(215) 662-7527
Medicare enrollment
Enrolled (PECOS I20050603000766); accepts Medicare assignment
Medical or professional school
University Of Rochester School Of Medicine And Dentistry, 2000
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3400 Civic Center Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Erin Aakhus, M.D.Hematology & Oncology Physician1255652087
  2. Patricia Abbott, PA-CMedical Physician Assistant1316011018
  3. Nawar Abdul Latif, M.D.Gynecologic Oncology Physician1023247335
  4. Srinath Adusumalli, MDCardiovascular Disease Physician1720373418
  5. Shivani AgarwalEndocrinology, Diabetes & Metabolism Physician1104144708
  6. Charu Aggarwal, MD, MPHHematology & Oncology Physician1114181740

Verify Belinda K. Birnbaum in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD426273
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

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37% fewer Medicare Part D claims than the average rheumatology physician in 2024

1,242 Medicare Part D claims for 170 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. 41 claims were for opioids.

  1. Belinda Birnbaum1,242
  2. Specialty average1,978

Most prescribed

  1. Prednisone247 claims
  2. Hydroxychloroquine Sulfate175 claims
  3. Methotrexate143 claims
  4. Allopurinol61 claims
  5. Gabapentin60 claims
  6. Leflunomide39 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 95.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%95.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $785.60

42 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Belinda Birnbaum$785.60
  2. Specialty average$8,538.33

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Bryn Mawr Medical Specialists AssociationBryn Mawr, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Rheumatology Physician providers in Pennsylvania

There are 413 rheumatology physician records in Pennsylvania.

Other rheumatology physician records in Pennsylvania

  1. Shady Abdelbaki, M.D.Pottstown, PA1003270414
  2. Shahrzad Abdollahi, M.D.Philadelphia, PA1518494178
  3. John Abruzzo, M.D.Bala Cynwyd, PA1396768040
  4. Ravi Acharya, M.D.Gettysburg, PA1700801040
  5. Antonio AchkarPittsburgh, PA1770555922
  6. Sandhya Adusumilli, M.D.Lancaster, PA1194706143
  7. Manushi Aggarwal, MDErie, PA1245751676
  8. Rohit Aggarwal, M.D.Pittsburgh, PA1538340138
  9. Ghada Metwally Ahmed Elsayed, M.D.Blairsville, PA1225470701
  10. Ghassan Al-Qaysi, MDCamp Hill, PA1891373668

Common questions

What is Belinda K. Birnbaum, MD's NPI number?

Belinda K. Birnbaum, MD's National Provider Identifier (NPI) is 1669469573, issued on Oct 5, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Belinda K. Birnbaum, MD located?

The NPPES record lists a practice address at 3400 Civic Center Blvd, Philadelphia, PA, 19104. Phone: (215) 662-2454. Providers update this record themselves, so call before visiting.

How can I verify Belinda K. Birnbaum, MD's license?

NPPES lists Pennsylvania license number MD426273, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Belinda K. Birnbaum, MD prescribe under Medicare Part D?

In 2024, Belinda K. Birnbaum, MD had 1,242 Medicare Part D claims for 170 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is Belinda K. Birnbaum, MD's MIPS final score?

The 2023 MIPS final score is 95.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.