Individual provider Active NPI

David Butler, M.D.

  • Orthopaedic Surgery Physician
  • Orland Park, IL
National Provider Identifier
1093765844
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036073346 Issued in IL
Practice address
15300 West Avenue
Suite 300 East BLDG
Orland Park, IL 60462-4684
Phone
(708) 349-6700
Fax
(708) 349-6706
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 3534-320 WI
Orthopaedic Surgery Physician 207X00000X 036073346 IL Primary

Addresses

Primary practice location

15300 West Avenue
Suite 300 East BLDG
Orland Park, IL 60462-4684

Mailing address

15300 West Ave
Suite 330 East BLDG
Orland Park, IL 60462-4600
Phone (708) 349-6700

Other practice location 1

3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000

Other identifiers 2

IdentifierTypeStateIssuer
036073346MedicaidIL
1093765844MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address dbutler505194@direct-ehr-ssmhc.com Direct

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
I20091008000232 IL Practitioner - Orthopedic Surgery 4981762143 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Hospital District 71 clinicians

Practice addresses (Care Compare)

1000 N Allen St
Robinson, IL 62454-1114
Phone (618) 546-5600

Hospital & facility affiliations

  • Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343
  • Lawrence County Memorial Hospital Hospital, Lawrenceville, IL, CCN 141344

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3534-320WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Hospital District Orthopaedic Surgery CurrentSince May 9, 2022 Accepting new patients
Dean Health Systems, Inc CurrentSince Feb 26, 2024 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients
Crawford Hospital District CurrentSince May 9, 2022 Accepting new patients
Crawford Hospital District CurrentSince Jan 18, 2026 Accepting new patients
Dean Health Systems, Inc. CurrentSince Feb 26, 2024 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Little Company of Mary Affiliated Services Inc CurrentSince Dec 4, 2017 Accepting new patients
Little Company of Mary Affiliated Services Inc Current Accepting new patients
Crawford Hospital District Current Accepting new patients
Associated Pathologists, LLC Current Accepting new patients
Crawford Hospital District Past Accepting new patients
Southside Orthopaedics P.C. Specialist PastSince Aug 1, 2008 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207

1002 N Allen St
Ste B
Robinson, IL 62454

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

3200 E Racine St
Janesville, WI 53546
Phone (608) 371-8000

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d97362bf-37fe-407d-8a05-be96ba9615b1/
  • Direct secure messaging: dbutler505194@direct-ehr-ssmhc.com

Organizations & group practices 20

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.

View all 20

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1093765844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "address_2": "SUITE 330 EAST BLDG",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "708-349-6700",
            "fax_number": "708-349-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVENUE",
            "address_2": "SUITE 300 EAST BLDG",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624684",
            "telephone_number": "708-349-6700",
            "fax_number": "708-349-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 E Racine St",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535462343",
            "country_code": "US",
            "telephone_number": "608-371-8000",
            "fax_number": "608-371-8932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "3534-320",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036073346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073346",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093765844",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "3200 E Racine St",
            "city": "Janesville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535462343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbutler505194@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dbutler505194@direct-ehr-ssmhc.com",
            "address_1": "3200 E Racine St",
            "city": "Janesville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535462343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.