Chairat Butsunturn, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0601170 Issued in NY

Practice address

1 Colomba Dr
Suite 2
Niagara Falls, NY 14305-1205

Phone

(716) 285-3464

Fax

(716) 285-8520

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Niagara Urology Associates PC

  • Urology Physician
  • Niagara Falls, NY
  • NPI 1255419594
  NPD (past) Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1053499491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLOMBA DR",
            "address_2": "SUITE 2",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051205",
            "telephone_number": "716-285-3464",
            "fax_number": "716-285-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLOMBA DR",
            "address_2": "SUITE 2",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051205",
            "telephone_number": "716-285-3464",
            "fax_number": "716-285-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTSUNTURN",
        "first_name": "CHAIRAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "0601170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "00606428",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1900696",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000502232001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426003450",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010023701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "161136388",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Burgess, LCSW
• Katie Burke
• Barbara Burns
• Desiree Burton
• Jeannette Buscaglia, FNP
• C&J Taxi Transportation LLC
• Nicole Marie Cafarella, M.A.
• Jennifer M Cage, RN, FNP
• Marla J. Calabro, PA
• Brianna Caldwell

• Urology Physician in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.