Dr James Douglas Birmingham, MD - Medicare Rheumatology in Ada, MI

Dr James Douglas Birmingham, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Ada, Michigan. He went to Ohio State University College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice American Arthritis And Rheumatology Associates -mi Pllc and his current practice location is 6741 Fulton St E, Ada, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 320-5330.

Dr James Douglas Birmingham is licensed to practice in Michigan (license number 4301072323) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891811543.

Contact Information

Dr James Douglas Birmingham, MD
6741 Fulton St E,
Ada, MI 49301-9502
(616) 320-5330
(616) 320-5331

Map and Direction




Physician's Profile

Full NameDr James Douglas Birmingham
GenderMale
SpecialityRheumatology
Experience26 Years
Location6741 Fulton St E, Ada, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James Douglas Birmingham attended and graduated from Ohio State University College Of Medicine in 1998
  NPI Data:
  • NPI Number: 1891811543
  • Provider Enumeration Date: 03/22/2007
  • Last Update Date: 04/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759367097
  • Enrollment ID: I20040628000029

Medical Identifiers

Medical identifiers for Dr James Douglas Birmingham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891811543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 4301072323 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum HealthGrand rapids, MIHospital
Metro Health HospitalWyoming, MIHospital
Holland Community HospitalHolland, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Arthritis And Rheumatology Associates -mi Pllc83253850089

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James Douglas Birmingham allows following entities to bill medicare on his behalf.
Entity NameAmerican Arthritis & Rheumatology Associates -mi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538655469
PECOS PAC ID: 8325385008
Enrollment ID: O20190204001976

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Douglas Birmingham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James Douglas Birmingham, MD
6741 Fulton St E,
Ada, MI 49301-9502

Ph: (616) 320-5330
Dr James Douglas Birmingham, MD
6741 Fulton St E,
Ada, MI 49301-9502

Ph: (616) 320-5330

Reviews and Comments


Internal Medicine Doctors in Ada, MI

Dr. Ashley Barcroft,
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 7128 Fulton St E, Ada, MI 49301
Phone: 616-825-3530    
Richard Lovy, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 5007 Meadow Springs Trl Se, Ada, MI 49301
Phone: 616-719-2293    
Andrew Lewandoski, D.O.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 6741 Fulton St E, Ada, MI 49301
Phone: 616-320-5330    Fax: 616-320-5331
Dr. Peter C Lenhart, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 6741 E Fulton St, Ste 201, Ada, MI 49301
Phone: 616-685-2500    Fax: 616-685-2511

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.