Active NPI
Tammy L Birbeck, DO
- Obstetrics & Gynecology Physician
- Englewood, FL
National Provider Identifier
1316939416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS10000
- Practice address
- 900 Pine St Ste 111a
Englewood, FL 34223-4457 - Phone
- (941) 681-2042
- Fax
- (941) 208-5982
- NPI assigned
- Aug 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34011568 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | 5101013755 | MI | |
| Gynecology Physician | 207VG0400X | OS10000 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | OS10000 | FL | Primary |
Addresses
Primary practice location
900 Pine St Ste 111a
Englewood, FL 34223-4457
Mailing address
900 Pine St Ste 111a
Englewood, FL 34223-4457
Phone (941) 681-2042
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS10000 | Other | FL | FLORIDA MEDICAL LICENSE |
| 143446 | Other | MI | GLHP |
| 1656310015 | Other | MI | BCBS OF MI |
| 2667501 | Medicaid | OH | |
| 7737491 | Other | MI | AETNA |
| 137116 | Other | MI | CARE CHOICE |
| 000000494798 | Other | ANTHEM | |
| JYT20 | Other | FL | BCBS FL BLUE |
| P00254135 | Other | MI | RRMC |
| 1275072605 | Other | FL | GROUP MEDICARE NPI |
| 4786674 | Medicaid | MI | |
| 04763 | Other | MI | PARAMOUNT |
| 33742 | Other | MI | HPM |
| 369742427-001 | Other | MI | MMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20170721001116 | FL | Practitioner - Obstetrics/Gynecology | 5991785339 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34011568 | OH | MD | Obstetrics & Gynecology Physician |
| OS10000 | FL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tammy Birbeck DO PLLC | Gynecology | Current | Accepting new patients |
| Gulf Coast Hma Physician Management LLC | Past | Accepting new patients | |
| Neal M Alpiner MD PLLC | Past | Accepting new patients | |
| Dov Schuchman MD PC | Gynecology | Past | Accepting new patients |
| Huron Pointe OB-GYN PC | Past | Accepting new patients |
Locations
900 Pine St
Ste 111A
Englewood, FL 34223
Phone (941) 681-2042
2061 Englewood Rd
Ste 4
Englewood, FL 34223
Phone (941) 408-3537
Organizations & group practices 5
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.
-
- Gynecology Physician
- Englewood, FL
- NPI 1275072605
-
- Podiatrist
- Venice, FL
- NPI 1932470648
-
- Gynecology Physician
- Bloomfield Hills, MI
- NPI 1629053806
-
- Specialist
- Lapeer, MI
- NPI 1093983280
-
- Physical Medicine & Rehabilitation Physician
- Rochester Hills, MI
- NPI 1194886887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1316939416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 PINE ST STE 111A",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342234457",
"telephone_number": "941-681-2042",
"fax_number": "941-208-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PINE ST STE 111A",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342234457",
"telephone_number": "941-681-2042",
"fax_number": "941-208-5982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRBECK",
"first_name": "TAMMY",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "34011568",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101013755",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "OS10000",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS10000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL LICENSE",
"identifier": "OS10000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLHP",
"identifier": "143446",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "1656310015",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2667501",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7737491",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICE",
"identifier": "137116",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000494798",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL BLUE",
"identifier": "JYT20",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00254135",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NPI",
"identifier": "1275072605",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4786674",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "04763",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPM",
"identifier": "33742",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMO",
"identifier": "369742427-001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.