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JAMES HEATH PELHAM M.D.
NPI 1760916241
Pediatrics in Birmingham, AL

Active since April 12, 2017PECOS Enrolled
2815 INDEPENDENCE DR, BIRMINGHAM, AL 35209(205) 879-7888(205) 879-6822 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2025, Jul 2, 2020, Apr 9, 2020 and 1 more (4 updates tracked since 2017).

About James Heath Pelham M.d. NPPES

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

JAMES HEATH PELHAM M.D. (NPI 1760916241) is an individual pediatrics provider in Birmingham, Alabama, licensed in Alabama (40976) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760916241
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES HEATH PELHAMCredential: M.D.
Location Address2815 INDEPENDENCE DRBirmingham, AL 35209-4178
Mailing Address2815 Independence DrBirmingham, AL 35209-4178 · (205) 879-7888 · Fax (205) 879-6822
Phone(205) 879-7888
Fax(205) 879-6822
Sole ProprietorNo
Enumeration DateApril 12, 2017
Last NPPES UpdateAugust 13, 20254 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1760916241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 40976
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2815 INDEPENDENCE DR, Birmingham, AL 35209
Open in Google Maps ↗

Other Identifiers 3

Other093996400AL · Aetna
Other1760916241AL · Cigna
Other512-55877AL · Blue Cross Blue Shield Of Alabama

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Cigna Healthcare, UnitedHealthcare.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 Heath Pelham M.d. 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

2

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

University Of Alabama Health Services Foundation, PC
2.0 mi
Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1356377576 (205) 939-9100
Children's Urgent Care, LLC
5.7 mi
Urgent Care
500 CAHABA PARK CIR, STE 100
Birmingham, AL 35242
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Childrens Urgent Care, LLC
  • 98 clinicians in this Medicare group
NPI 1124541438 (205) 848-2273

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 35209 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALABAMA PEDIATRICS
Clinic/Center (Primary Care)
2815 INDEPENDENCE DR
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7888
ABBY MORRIS ALLEN M.D.
Pediatrics
2815 INDEPENDENCE DR
BIRMINGHAM, AL 35209
Jefferson County (058) 797-8888
DR. BRIAN KEITH STANSELL MD
Pediatrics
2815 INDEPENDENCE DR
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7888
DR. MARY EVELYN MONTGOMERY O'NEIL M.D.
Pediatrics
2815 INDEPENDENCE DR
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7888

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 Pelham's NPI number?

The NPI number for James Pelham is 1760916241. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is James Pelham located?

James Pelham practices at 2815 Independence Dr, Birmingham, AL 35209. The listed phone number is (205) 879-7888.

What is James Pelham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Pelham enrolled in Medicare?

Yes. James Pelham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Pelham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pelham reassigns Medicare benefits to 2 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL) and Children's Urgent Care, LLC (Birmingham, AL). Each 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 Pelham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Pelham accept?

Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare and UnitedHealthcare list James Pelham 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 Pelham was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.