Individual provider Active NPI

Martin Butler, MD

  • Diagnostic Radiology Physician
  • Rockford, IL
National Provider Identifier
1033163720
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Practice address
1401 E State St
Rockford, IL 61104-2315
Phone
(888) 696-7820
Fax
(815) 636-1771
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X IL Primary

Addresses

Primary practice location

1401 E State St
Rockford, IL 61104-2315

Mailing address

1401 E State St
Rockford, IL 61104-2315
Phone (888) 696-7820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100419000758 IL Practitioner - Diagnostic Radiology 2163485475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants of Rockford LTDGroup PAC ID 3274596572, 24 clinicians

Practice addresses (Care Compare)

1340 Charles St
Rockford, IL 61104-2200
Phone (815) 391-7676

1401 E State St
Rockford, IL 61104-2315
Phone (815) 968-4400

1625 S State St
Belvidere, IL 61008-5907
Phone (815) 968-4400

1700 Henry Luckow LN
Belvidere, IL 61008-1702
Phone (815) 544-8030

230 W Blackhawk Dr
Byron, IL 61010-8988
Phone (815) 234-2611

2404 Charles St
Rockford, IL 61108-1602
Phone (815) 391-7910

2909 N Main St
Rockford, IL 61103-3100
Phone (779) 696-5000

3505 N Bell School Rd
Rockford, IL 61114-6624
Phone (779) 696-0300

3535 N Bell School Rd
Rockford, IL 61114-6624
Phone (779) 696-9400

3775 N Mulford Rd
Rockford, IL 61114-5632
Phone (815) 636-6400

5665 N Junction Way
Davis Junction, IL 61020-9433
Phone (815) 645-1400

6824 Newburg Rd
Rockford, IL 61108-4330
Phone (815) 391-7610

815 Marchesano Dr
Rockford, IL 61102-3521
Phone (779) 696-5950

Hospital & facility affiliations

  • Uw Health Hospital, Rockford, IL, CCN 140228

Merit-based Incentive Payment System (MIPS)

Final score
93.95 of 100Reported as group
Quality
90.59
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036092703ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants of Rockford LTD Diagnostic Radiology CurrentSince Aug 1, 1996 Accepting new patients

Locations

39020 Eagle Way
Chicago, IL 60678

903 Commerce Dr
Ste 333
Oak Brook, IL 60523
Phone (630) 571-6770

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

1340 Charles St
Ste 404
Rockford, IL 61104
Phone (815) 316-8346

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1033163720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042315",
            "telephone_number": "888-696-7820",
            "fax_number": "815-636-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042315",
            "telephone_number": "888-696-7820",
            "fax_number": "815-636-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.