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JAMES MCPHAIL MD
NPI 1033616701
Internal Medicine in Birmingham, AL

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
625 19TH ST S, BIRMINGHAM, AL 35249(205) 934-2490 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2020, Apr 10, 2018 (2 updates tracked since 2018).

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

NPI1033616701
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES MCPHAILCredential: MD
Location Address625 19TH ST SBirmingham, AL 35249
Mailing Address625 19th St SBirmingham, AL 35249
Phone(205) 934-2490
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2018
Enumeration DateApril 10, 2018
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1033616701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.38922
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License MD.38922 (AL)
625 19TH ST S, Birmingham, AL 35249
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6103265939
PECOS Enrollment IDI20240412002738
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

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.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SUNIL RANGARAJAN M.D
Internal Medicine (Medical Oncology)
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-9666
DR. MAHTAB FAKHARI MD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-4060
CRISTINA I CORREA CRNP
Nurse Practitioner (Gerontology)
625 19TH ST S, JT 807
BIRMINGHAM, AL 35249
Jefferson County (205) 934-4696
YEN CHAU M.D.
Anesthesiology
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-6525
MR. TYLER WILSON CLEMMENSEN
Pathology (Anatomic Pathology)
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-4303
MAUDE CREPAULT
Emergency Medicine
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-3640
ALYSSA K. POLSON MD
Personal Emergency Response Attendant
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 975-7387
DANIEL SULLIVAN HENDERSON
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-2559

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.

What insurance does James Mcphail accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer 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 with the weekly NPPES data releases published by CMS.