Individual provider Active NPI

Ahmed Tariq Butt, M.D.

  • Allergy & Immunology Physician
  • Fredericksburg, VA
National Provider Identifier
1003027301
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0101251523 Issued in VA
Practice address
1300 Thornton St
Suite 200
Fredericksburg, VA 22401-4654
Phone
(540) 371-6810
Fax
(540) 371-9154
NPI assigned
May 25, 2007
Last updated
May 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0101251523 VA Primary
Internal Medicine Physician 207R00000X 0101251523 VA

Addresses

Primary practice location

1300 Thornton St
Suite 200
Fredericksburg, VA 22401-4654

Mailing address

1300 Thornton St
Suite 200
Fredericksburg, VA 22401-4654
Phone (540) 371-6810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120518000008 VA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 8729253406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
West Virginia University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Center of FBG, LTDGroup PAC ID 3870503337, 5 clinicians

Practice addresses (Care Compare)

1500 Dixon St
Suite 203
Fredericksburg, VA 22401-7231
Phone (540) 371-6810

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Center of FBG, LTD Allergy & Immunology CurrentSince Jun 1, 2012 Accepting new patients

Locations

1300 Thornton St
Ste 200
Fredericksburg, VA 22401
Phone (540) 371-6810

1500 Dixon St
Ste 203
Fredericksburg, VA 22401
Phone (540) 310-4822

9010 Lorton Station Blvd
Ste 210
Lorton, VA 22079
Phone (703) 339-1660

8140 Ashton Ave
Ste 110
Manassas, VA 20109
Phone (540) 371-6810

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1003027301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 THORNTON ST",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014654",
            "telephone_number": "540-371-6810",
            "fax_number": "540-371-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 THORNTON ST",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014654",
            "telephone_number": "540-371-6810",
            "fax_number": "540-371-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTT",
        "first_name": "AHMED",
        "middle_name": "TARIQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101251523",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101251523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.