Individual provider Active NPI

Ryan Butler, D.O.

  • Family Medicine Physician
  • Great Falls, MT
National Provider Identifier
1114367216
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49917 Issued in MT
Practice address
3010 15TH Ave S
Great Falls, MT 59405-5240
Phone
(406) 216-8000
NPI assigned
Jul 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 05-40831 KS
Emergency Medicine Physician 207P00000X 8749 OK
Family Medicine Physician 207Q00000X 2022018701 MO
Family Medicine Physician 207Q00000X 8749 OK
Family Medicine Physician 207Q00000X 49917 MT Primary

Addresses

Primary practice location

3010 15TH Ave S
Great Falls, MT 59405-5240

Mailing address

3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000

Other practice location 1

2200 Memorial Dr
Farrell, PA 16121-1357
Phone (724) 983-7507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 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
I20180808003461 KS Practitioner - Emergency Medicine 6204130248 Reassigns benefits to 3 organizations
I20241107000482 OK Practitioner - Emergency Medicine 6204130248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Kansas PAGroup PAC ID 2062683808, 17 clinicians
South Central Emergency Services, PCGroup PAC ID 8224212949, 57 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Emergency Services of Kansas PA
Topeka, KS 66606-2489
Phone (785) 295-8000

200 2ND Ave SW
Miami, OK 74354-6830
Phone (918) 542-6611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.19 of 100Reported as group
Improvement activities
20
Cost
77.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-40831KSMDEmergency Medicine Physician
49917MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Stormont Vail Health Flint Hills LLC CurrentSince Apr 17, 2023 Accepting new patients
Stormont Vail Health Flint Hills LLC Emergency Medicine Current Accepting new patients
Eastern Kansas Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 4, 2023 Accepting new patients
Stormont Vail Health Flint Hills LLC CurrentSince Apr 17, 2023 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Emergency Services of Kansas, P.a. Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Nov 8, 2024 Accepting new patients
Integris Miami Hospital Past Accepting new patients

Locations

1110 Saint Marys Rd
Ste 201
Junction City, KS 66441
Phone (785) 762-4575

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411

1700 SW 7th St
#O
Topeka, KS 66606
Phone (785) 295-8000

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

201 S Sara Rd
Mustang, OK 73064
Phone (405) 376-4505

3400 S Douglas Blvd
Oklahoma City, OK 73150
Phone (405) 815-5000

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Interoperability endpoints

  • Direct secure messaging: rbutler121699@stormontvaildirect.org
  • Direct secure messaging: rbutler916709@ahs.direct-ci.com

Organizations & group practices 9

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1114367216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240",
            "telephone_number": "406-216-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240",
            "telephone_number": "406-216-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Farrell",
            "state": "PA",
            "postal_code": "161211357",
            "country_code": "US",
            "telephone_number": "724-983-7507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "RYAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-40831",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "8749",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2022018701",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "8749",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "49917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.