Individual provider Active NPI

James Theodore Birch Jr., MD, MSPH

  • Family Medicine Physician
  • Kansas City, KS
National Provider Identifier
1225080682
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2003026494 Issued in MO
Practice address
3901 Rainbow Blvd
Ms 4017
Kansas City, KS 66160-8500
Phone
(913) 588-1944
Fax
(193) 588-2496
NPI assigned
May 16, 2006
Last updated
Jul 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2003026494 MO Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 04032538 KS

Addresses

Primary practice location

3901 Rainbow Blvd
Ms 4017
Kansas City, KS 66160-8500

Mailing address

PO Box 411851
Kansas City, MO 64141-1851
Phone (913) 588-1944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000822 MO Practitioner - Family PracticePractitioner - Geriatric Medicine 6507895471 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04032538KSMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest M PLLC CurrentSince Sep 26, 2025 Accepting new patients
Theoria Medical CurrentSince Aug 1, 2025 Accepting new patients
Theoria Medical Family Medicine Past Accepting new patients
Tiffany Springs Rehabilitation & Health Care Center LLC Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

505 W Evergreen St
Strafford, MO 65757
Phone (417) 736-9332

809 W Benton St
Windsor, MO 65360
Phone (660) 467-3102

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1225080682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411851",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641411851",
            "telephone_number": "913-588-1944",
            "fax_number": "913-588-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MS 4017",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-1944",
            "fax_number": "193-588-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "JAMES",
        "middle_name": "THEODORE",
        "name_suffix": "Jr.",
        "credential": "MD, MSPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2003026494",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "KS",
            "license": "04032538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.