Organization Active NPI

Specialists in Internal Medicine, PC

  • Internal Medicine Physician
  • Clayton, MO
National Provider Identifier
1023096187
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SPECIALISTS IN INTERNAL MEDICINE, PC
Practice address
950 Francis PL
Ste 317
Clayton, MO 63105-2465
Phone
(314) 721-6936
Fax
(314) 721-6915
NPI assigned
Jan 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melvin J Butler, MDNPI 1841278850
Title
President
Phone
(314) 491-6793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

950 Francis PL
Ste 317
Clayton, MO 63105-2465

Mailing address

950 Francis PL
Ste 317
Clayton, MO 63105-2465
Phone (314) 721-6936

Other identifiers 1

IdentifierTypeStateIssuer
DC0291OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000294 MO Part B Supplier - Clinic/Group Practice 9537132014 Receives reassigned benefits from 1 practitioner
Practice locations: Clayton, MO

National Provider Directory

National Provider Directory

Locations

950 Francis Pl
Ste 317
Saint Louis, MO 63105
Phone (314) 721-6936

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023096187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "address_2": "STE 317",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-721-6936",
            "fax_number": "314-721-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "address_2": "STE 317",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-721-6936",
            "fax_number": "314-721-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALISTS IN INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-491-6793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC0291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.