Active NPI
Patrick Michael Birmingham, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 036123563
- Practice address
- 680 N Lake Shore Dr Ste 924
Chicago, IL 60611 - Phone
- (847) 866-7846
- Fax
- (866) 954-5787
- NPI assigned
- May 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 036123563 | IL | Primary |
Addresses
Primary practice location
680 N Lake Shore Dr Ste 924
Chicago, IL 60611
Mailing address
680 N Lake Shore Dr Ste 924
Chicago, IL 60611-8701
Phone (847) 866-7846
Other practice location 1
2650 Ridge Ave
Department of Orthopaedic Surgery
Evanston, IL 60201-1718
Phone (847) 881-6848
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbirmingham233702@direct.northshore.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120820000883 | IL | Practitioner - Orthopedic Surgery | 5799839379 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Clinical Operations | Past | Accepting new patients |
Locations
680 N Lake Shore Dr
Ste 924
Chicago, IL 60611
Phone (312) 475-5628
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2180 Pfingsten Rd
Ste 3100
Glenview, IL 60026
Phone (312) 664-6848
9650 Gross Point Rd
Ste 2900
Skokie, IL 60076
Interoperability endpoints
- pbirmingham233702@direct.northshore.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Psychiatric Hospital Unit
- Highland Park, IL
- NPI 1770527236
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Endeavor Health Medical Group
Practice addresses (Care Compare)
2100 Pfingsten Rd
Glenview, IL 60026-1301
2650 Ridge Ave
Evanston, IL 60201-1700
9600 Gross Point Rd
Skokie, IL 60076-1214
Hospital & facility affiliations
- Northshore University Healthsystem - Evanston Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 11 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1043477052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR STE 924",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606118701",
"telephone_number": "847-866-7846",
"fax_number": "866-954-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR STE 924",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "847-866-7846",
"fax_number": "866-954-5787"
}
],
"practiceLocations": [
{
"address_1": "2650 Ridge Ave",
"address_2": "Department of Orthopaedic Surgery",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011718",
"country_code": "US",
"telephone_number": "847-881-6848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIRMINGHAM",
"first_name": "PATRICK",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IL",
"license": "036123563",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pbirmingham233702@direct.northshore.org",
"affiliation": "N",
"address_1": "680 N Lake Shore Dr Ste 924",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "60611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.