Active NPI
Peter Lawrence Birnbaum, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- A52432
- Practice address
- 1377 E Herndon Ave
Suite 104
Fresno, CA 93720-3022 - Phone
- (559) 450-7455
- Fax
- (559) 450-7473
- NPI assigned
- Jan 10, 2006
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A52432 | CA | Primary |
Addresses
Primary practice location
1377 E Herndon Ave
Suite 104
Fresno, CA 93720-3022
Mailing address
1377 E Herndon Ave
Suite 104
Fresno, CA 93720-3022
Phone (559) 450-7455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BO411X | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20090416000336 | CA | Practitioner - Cardiac Surgery | 0648327270 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Agnes Medical Foundation
Practice addresses (Care Compare)
1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3433
1379 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-6388
Hospital & facility affiliations
- Saint Agnes Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.57 of 100
- Quality
- 63.43
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.49
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52432 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LQMG Medical Group Inc. | Current | Accepting new patients | |
| Saint Agnes Medical Foundation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Saint Agnes Medical Providers Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Valley Cardiac Surgery Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
1377 E Herndon Ave
Ste 104
Fresno, CA 93720
Phone (559) 450-7455
1510 E Herndon Ave
Ste 210
Fresno, CA 93720
Phone (559) 450-2274
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
Interoperability endpoints
- pbirnbaum2714798@direct.trinity-health.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
CA, Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1437166360
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1780929406
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fresno, CA
- NPI 1609983220
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Hospital & facility affiliations 1
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": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1740269752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 E HERNDON AVE",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203022",
"telephone_number": "559-450-7455",
"fax_number": "559-450-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1377 E HERNDON AVE",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203022",
"telephone_number": "559-450-7455",
"fax_number": "559-450-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRNBAUM",
"first_name": "PETER",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A52432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "BO411X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.