Individual provider Active NPI

James T Butler, NP

  • Nurse Practitioner
  • Auburn, NY
National Provider Identifier
1124007489
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F333697-1 Issued in NY
Practice address
37 W Garden St Ste 105
Auburn, NY 13021-2663
Phone
(315) 252-0000
Fax
(315) 252-0070
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F333697-1 NY Primary

Addresses

Primary practice location

37 W Garden St Ste 105
Auburn, NY 13021-2663

Mailing address

5008 Brittonfield Pkwy
Suite 700
East Syracuse, NY 13057-9248
Phone (315) 472-7504

Other practice location 1

5008 Brittonfield Pkwy
Suite 700
East Syracuse, NY 13057
Phone (315) 472-7504

Other practice location 2

303 Grant Ave
Auburn, NY 13021-1407
Phone (315) 258-7100

Other practice location 3

803 Genesee St
Skaneateles, NY 13152
Phone (315) 685-9355

Other identifiers 1

IdentifierTypeStateIssuer
02364941MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000678 NY Practitioner - Nurse Practitioner 2961305164 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Auburn Community HospitalGroup PAC ID 2365346525, 61 clinicians
Omar Osman MD PLLCGroup PAC ID 1355716812, 13 clinicians

Practice addresses (Care Compare)

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7142

217 E Ave
Minoa, NY 13116-1205
Phone (315) 656-7277

Hospital & facility affiliations

  • Auburn Community Hospital Hospital, Auburn, NY, CCN 330235

Merit-based Incentive Payment System (MIPS)

Final score
73.63 of 100Reported as group
Quality
64.83
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
48.88
Promoting interoperability
91
Improvement activities
40
Cost
71.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F333697-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC Nurse Practitioner CurrentSince May 1, 2018 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Aug 1, 2022 Accepting new patients
Omar Osman MD PLLC CurrentSince Mar 1, 2023 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince May 1, 2018 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Aug 1, 2022 Accepting new patients
Auburn Community Hospital CurrentSince Aug 1, 2022 Accepting new patients
Auburn Community Hospital CurrentSince Aug 1, 2022 Accepting new patients
Auburn Community Hospital Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

37 W Garden St
Ste 105
Auburn, NY 13021
Phone (315) 252-0000

303 Grant Ave
Auburn, NY 13021
Phone (315) 253-1805

40 Heyward St
Brooklyn, NY 11249
Phone (212) 727-9997

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

217 East Ave
Minoa, NY 13116
Phone (315) 656-7277

7 Keeler Ave
Moravia, NY 13118
Phone (315) 497-0440

525 Beahan Rd
Rochester, NY 14624
Phone (585) 247-7880

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

803 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 685-9355

91 Tompkins Ave
Staten Island, NY 10304
Phone (718) 876-1200

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Organizations & group practices 11

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 1

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1124007489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 BRITTONFIELD PKWY",
            "address_2": "SUITE 700",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579248",
            "telephone_number": "315-472-7504",
            "fax_number": "315-479-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST STE 105",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212663",
            "telephone_number": "315-252-0000",
            "fax_number": "315-252-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5008 Brittonfield Pkwy",
            "address_2": "Suite 700",
            "address_purpose": "LOCATION",
            "city": "East Syracuse",
            "state": "NY",
            "postal_code": "13057",
            "country_code": "US",
            "telephone_number": "315-472-7504",
            "fax_number": "315-479-8639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211407",
            "country_code": "US",
            "telephone_number": "315-258-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "13152",
            "country_code": "US",
            "telephone_number": "315-685-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JAMES",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F333697-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02364941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.