Individual provider Active NPI

Asma Khalid Butler, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Le Sueur, MN
National Provider Identifier
1093702235
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
58532 Issued in GA
Practice address
621 S 4TH St
Le Sueur, MN 56058-2203
Phone
(507) 665-3375
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 58532 GA Primary

Addresses

Primary practice location

621 S 4TH St
Le Sueur, MN 56058-2203

Mailing address

1 Longfellow PL
Apt 2915
Boston, MA 02114-2438
Phone (617) 670-1682

Other identifiers 1

IdentifierTypeStateIssuer
418162000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20061120000429 GA Practitioner - Family PracticePractitioner - Geriatric Medicine 9638140007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58532GAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc Geriatric Medicine CurrentSince Nov 1, 2006 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Feb 26, 2021 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Feb 26, 2021 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1093702235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LONGFELLOW PL",
            "address_2": "APT 2915",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142438",
            "telephone_number": "617-670-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S 4TH ST",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560582203",
            "telephone_number": "507-665-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID BUTLER",
        "first_name": "ASMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "58532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418162000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Sueur, MN

Sources for this page

Verify at the official NPI Registry.