WILLIAM GARRY BIRCH IV NP
NPI 1790339943
Nurse Practitioner in Indianapolis, IN
NPI Status: Active since July 26, 2019
Contact Information
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 338-2345
- Individual
- Male
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
About WILLIAM BIRCH
This page provides the complete NPI Profile along with additional information for William Birch, a provider established in Indianapolis, Indiana with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1790339943 assigned on July 2019. The practitioner's primary taxonomy code is 363L00000X with license number 71009617A (IN). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1790339943
- Provider Name
- WILLIAM GARRY BIRCH IV NP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2001 W 86TH ST INDIANAPOLIS, IN 46260
- Location Phone
- (317) 338-2345
- Mailing Address
- 2001 W 86TH ST INDIANAPOLIS, IN 46260
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-26-2019
- Last Update Date
- 05-25-2022
- Code Navigator
A nurse practitioner (NP) like William Birch is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 13345 Illinois St
Carmel, IN 46032
(317) 396-1451
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 71009617A
- License State
- IN
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WC0200X | Nursing Service Providers | Registered Nurse | 28210202A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
William Birch is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 46260 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.04
- Minimum New Patient Price $53.07
- Maximum New Patient Price $161.76
- Average New Patient Copayment $20.51
- Minimum New Patient Copayment $13.26
- Maximum New Patient Copayment $40.44
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.22
- Minimum Established Patient Price $16.93
- Maximum Established Patient Price $132.22
- Average Established Patient Copayment $23.55
- Minimum Established Patient Copayment $4.23
- Maximum Established Patient Copayment $33.05
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 3 | 3 | 9 | 9 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 6 | 3 | 18 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 6 + 3 + 1 + 8 + 9 + 8 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1790339943 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. BASSEM I RAZZOUK MD
Pediatrics
(Pediatric Hematology-Oncology)
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
DR. VANDANA B PATEL MD
Pediatrics
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
CARDIOTHORACIC ANESTHESIA OF INDIANA, PC
Anesthesiology
(Critical Care Medicine)
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
STEVEN RUSSELL DRYDEN MD
Anesthesiology
(Critical Care Medicine)
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
ANDREW W ALDEN MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
NORTHSIDE ANESTHESIA SERVICES, LLC
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
SUE ELLEN BRAUNLIN MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
CYNTHIA ELLIS MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
JANE GUNSENHOUSER MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
TIMOTHY J HANNON MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
WELDON T EGAN MD
Anesthesiology
(Pain Medicine)
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
LYNN D EIKENBERRY MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
BRENDAN M FRANK MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
DAVID T HELD MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
JEAN E MCGRADY MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
PHYLLIS T MARLAR MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
ROBERT N ADDLEMAN MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
JAMES T COX MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
RICHARD C JENKINS MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
GERALD A KIRK MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790339943, enumerated in the NPI registry as an "individual" on July 26, 2019
The provider is located at 2001 W 86th St Indianapolis, In 46260 and the phone number is (317) 338-2345
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.04 with an average copayment of $20.51 for new patient appointments. Established patients should expect a typical charge of $94.22 and an average copayment of 23.55. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 26, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.
