JAMES MCPHAIL MD
NPI 1033616701
Internal Medicine in Birmingham, AL
About James Mcphail Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES MCPHAIL MD (NPI 1033616701) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (MD.38922) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
James Mcphail Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show James Mcphail reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Birmingham, AL 35209
- Reassigned Medicare billing, Alabama enrollment
- 162 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BIRMINGHAM, AL 35249
BIRMINGHAM, AL 35249
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is James Mcphail's NPI number?
The NPI number for James Mcphail is 1033616701. It was assigned to this individual provider in the NPPES registry on April 10, 2018.
Where is James Mcphail located?
James Mcphail practices at 625 19th St S, Birmingham, AL 35249. The listed phone number is (205) 934-2490.
What is James Mcphail's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is James Mcphail enrolled in Medicare?
Yes. James Mcphail is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for James Mcphail's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Mcphail reassigns Medicare benefits to Gastroenterology Associates Of North-Central Alabama Inc (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Mcphail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Mcphail accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list James Mcphail as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for James Mcphail was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# James Mcphail, MD · NPI 1033616701
Internal Medicine physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since April 10, 2018.
## Identity
- **NPI:** 1033616701 (Entity type: Individual)
- **Enumerated:** April 10, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD.38922 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 625 19TH ST S, Birmingham, AL 35249
- **Phone:** (205) 934-2490
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gastroenterology Associates Of North-Central Alabama Inc (NPI 1528080595, Birmingham, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** February 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033616701) · Data from the CMS NPPES public registry.