Individual provider Active NPI

Charles A Birbara, M.D.

  • Specialist
  • Worcester, MA
National Provider Identifier
1093705410
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32425 Issued in MA
Practice address
25 Oak Ave
Worcester, MA 01605-2751
Phone
(508) 799-2674
Fax
(508) 799-2586
NPI assigned
Oct 26, 2005
Last updated
Jun 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32425 MA Primary

Addresses

Primary practice location

25 Oak Ave
Worcester, MA 01605-2751

Mailing address

25 Oak Ave
Worcester, MA 01605-2751
Phone (508) 799-2674

Other identifiers 1

IdentifierTypeStateIssuer
2034697MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000092 MA Practitioner - Rheumatology 3678582111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Oak Ave
Worcester, MA 01605-2751
Phone (508) 799-2674

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32425MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a. Birbara, M.D. CurrentSince Apr 1, 1981 Accepting new patients

Locations

25 Oak Ave
Worcester, MA 01605
Phone (508) 421-2010

26 Queen St
Worcester, MA 01610
Phone (508) 860-7700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1093705410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052751",
            "telephone_number": "508-799-2674",
            "fax_number": "508-799-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052751",
            "telephone_number": "508-799-2674",
            "fax_number": "508-799-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRBARA",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "32425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034697",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.