Individual provider Active NPI

Kimberly Butts, M.D.

  • Family Medicine Physician
  • Council Bluffs, IA
National Provider Identifier
1093196008
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-48114 Issued in IA
Practice address
3135 W Broadway
Council Bluffs, IA 51501-3359
Phone
(712) 328-9100
Fax
(712) 328-0095
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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 MD-48114 IA Primary
Family Medicine Physician 207Q00000X 30519 NE

Addresses

Primary practice location

3135 W Broadway
Council Bluffs, IA 51501-3359

Mailing address

3135 W Broadway
Council Bluffs, IA 51501-3359
Phone (712) 328-9100

Other practice location 1

10710 Fort St
Omaha, NE 68134
Phone (402) 354-7500

Other identifiers 7

IdentifierTypeStateIssuer
47068731749MedicaidNE
47068731741MedicaidNE
10026480100MedicaidNE
470553011-00MedicaidNE
1093196008MedicaidIA
47068731734MedicaidNE
47068731797MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180808001115 NE Practitioner - Family Practice 1759687643 Reassigns benefits to 2 organizations
I20210414000185 IA Practitioner - Family PracticePractitioner - Emergency Medicine 1759687643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton Clinic 951 clinicians

Practice addresses (Care Compare)

16101 Evans St
Omaha, NE 68116-6447
Phone (402) 717-9700

3135 W Broadway
Council Bluffs, IA 51501-3359
Phone (712) 328-9100

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Current Accepting new patients
Father Flanagan'S Boys' Home CurrentSince Oct 1, 2024 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Aug 19, 2025 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Aug 19, 2025 Accepting new patients
Hegg Memorial Hospital Family Medicine CurrentSince May 24, 2021 Accepting new patients
Hegg Memorial Hospital CurrentSince May 24, 2021 Accepting new patients
Alegent Creighton Clinic Family Medicine PastSince Apr 18, 2026 Accepting new patients
ENT Services PC Past Accepting new patients

Locations

3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040

3135 W Broadway
Ste 100
Council Bluffs, IA 51501
Phone (712) 242-2040

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

2771 Solution Ctr
Chicago, IL 60677

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

16101 Evans St
Omaha, NE 68116
Phone (402) 717-9700

4220 L St
#100
Omaha, NE 68107
Phone (402) 733-4433

Interoperability endpoints

  • Direct secure messaging: kimberly.butts@direct.nmhs.org

Organizations & group practices 8

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 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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1093196008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013359",
            "telephone_number": "712-328-9100",
            "fax_number": "712-328-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013359",
            "telephone_number": "712-328-9100",
            "fax_number": "712-328-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10710 Fort St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68134",
            "country_code": "US",
            "telephone_number": "402-354-7500",
            "fax_number": "402-354-7505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "KIMBERLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-48114",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "30519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731749",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731741",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026480100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470553011-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093196008",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731734",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731797",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.