DR. JAMES DOUGLAS BIRMINGHAM MD
NPI 1891811543
Internal Medicine - Rheumatology in Ada, MI
About Dr. James Douglas Birmingham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES DOUGLAS BIRMINGHAM MD (NPI 1891811543) is an individual rheumatology provider in Ada, Michigan, licensed in Michigan (4301072323) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Ohio State University College Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Accepted 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
Dr. James Douglas Birmingham 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIUniversity Of Michigan Health - West
Acute Care Hospitals · Wyoming, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Birmingham's NPI number?
The NPI number for James Birmingham is 1891811543. It was assigned to this individual provider in the NPPES registry on March 22, 2007.
Where is James Birmingham located?
James Birmingham practices at 6741 Fulton St E, Ada, MI 49301. The listed phone number is (616) 320-5330.
What is James Birmingham's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is James Birmingham enrolled in Medicare?
Yes. James Birmingham 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 Birmingham accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list James Birmingham 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.
Is James Birmingham affiliated with any hospitals?
According to CMS data, James Birmingham is affiliated with Spectrum Health and University Of Michigan Health - West.
When was this NPI record last updated?
The NPPES record for James Birmingham was last updated on February 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
