Kymberly N Butler, M.D.
Individual provider Active NPI Family Medicine Physician · Alvin, TX
NPI 1124057591 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1124057591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- K8881 (TX)
- Practice address
- 1111 W Adoue St
Alvin, TX 77511-2718 - Phone
- (281) 824-1480
- Fax
- (281) 220-6407
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Hahnemann University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stephen F Austin Community Health Center, Inc.
Practice addresses (Care Compare)
1111 W Adoue St
Alvin, TX 77511-2718
Phone 28182414801594
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
- CHI St Luke'S Health Brazosport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060811000365 | TX | Practitioner - Family Practice | 5597768598 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8881 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen F. Austin Community Health Center, Inc. | Current |
Accepting new patients | |
| Stephen F Austin Community Health Center,Inc | Current |
Accepting new patients | |
| CHN Medical Support Systems | Current |
Accepting new patients | |
| Total Health Family Medical Group | Family Medicine | Past |
Accepting new patients |
| South Central Houston Action Council, Inc. | Past | Accepting new patients | |
| Twenty First Century Solutions Home Health Services Inc. | Past | Accepting new patients | |
| Kelsey-Seybold Medical Group, PLLC | Family Medicine | Past | Accepting new patients |
Locations
1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594
1612 Callaway Dr
Alvin, TX 77511
10851 Scarsdale Blvd
Ste 200
Houston, TX 77089
Phone (281) 481-4577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K8881 | TX | Yes |
Addresses
Primary practice location
1111 W Adoue St
Alvin, TX 77511-2718
Mailing address
1612 Callaway Dr
Alvin, TX 77511-3743
Phone (281) 824-1480
Other practice location 1
4405 Griggs Rd
Houston, TX 77021-2815
Phone (832) 962-4111
Other practice location 2
4005 Technology Rd
Angleton, TX 77515-2556
Phone (281) 824-1480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G3601 | Other | TX | BCBS |
| 0050TL | Other | TX | BCBS |
| 080190927 | Other | TX | RAILROAD MEDICARE |
| 143377304 | Medicaid | TX |
Other providers in Alvin, TX
- Norman Lee Burch
- Katherine Burt
- Inez Burton
- Natalia Bushina-Vernor
- Kimberly L. Butler
- Wanda Faye Butler
- Jemyra Calais
- Emily Margaret Calhoun
- Lori T. Candrian
- Cao Integrated PLLC
All providers in Alvin, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.