JAMES THEODORE BIRCH JR. MD, MSPH
NPI 1225080682
Family Medicine in Kansas City, KS

Q: What is James Birch's NPI number?

The NPI number for James Birch is 1225080682. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is James Birch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Birch was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 16, 2006PECOS Enrolled

3901 RAINBOW BLVD, MS 4017, KANSAS CITY, KS 66160(913) 588-1944(193) 588-2496 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James Theodore Birch Jr. Md, Msph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES THEODORE BIRCH JR. MD, MSPH (NPI 1225080682) is an individual family medicine provider in Kansas City, Kansas, licensed in Missouri (2003026494) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225080682

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES THEODORE BIRCH JR.Credential: MD, MSPH

Location Address3901 RAINBOW BLVD, MS 4017Kansas City, KS 66160-8500

Mailing AddressPo Box 411851Kansas City, MO 64141-1851 · (913) 588-1944 · Fax (913) 588-2496

Phone(913) 588-1944

Fax(193) 588-2496

Sole ProprietorNo

Enumeration DateMay 16, 2006

Last NPPES UpdateJuly 16, 2014

✔ NPI 1225080682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2003026494

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 04032538 (KS)

3901 RAINBOW BLVD, Kansas City, KS 66160

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Other Identifiers 7

OtherP00284544MO · Rr Medicare

Medicaid010196264VA

Medicaid201906013MO

Medicare ID-Type Unspecified934821950MO

Medicare PIN934825236MO

Medicare UPINB05052

Medicare ID-Type Unspecified080001256VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Theodore Birch Jr. Md, Msph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show James Birch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Theoria Medical

630 mi

Internal Medicine

41800 W 11 MILE RD STE 109
Novi, MI 48375

Reassigned Medicare billing, Missouri enrollment
59 clinicians in this Medicare group

NPI 1609362375 (248) 860-4634

Complexcare Medical Group Midwest M PLLC

630 mi

Internal Medicine

41800 W 11 MILE RD STE 109
Novi, MI 48375

Reassigned Medicare billing, Missouri enrollment
20 clinicians in this Medicare group

NPI 1528851607 (248) 660-1220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

MRS. KELLI DOUGLAS M.A. CCC-SLP

Speech-Language Pathologist