Individual provider Active NPI

Sunil H. Butani, M.D.

  • Specialist
  • Mineola, NY
National Provider Identifier
1144238544
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
169195 Issued in NY
Practice address
184 Old Country Rd
Mineola, NY 11501-4200
Phone
(516) 747-5042
Fax
(516) 747-0612
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 169195 NY Primary

Addresses

Primary practice location

184 Old Country Rd
Mineola, NY 11501-4200

Mailing address

184 Old Country Rd
Mineola, NY 11501-4200
Phone (516) 747-5042

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000755 NY Practitioner - Physical Medicine and Rehabilitation 0042248361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
Quality
87.77
Promoting interoperability
100
Improvement activities
40
Cost
68.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Sports Spine Pain Medicine P.C. CurrentSince Nov 1, 2024 Accepting new patients
Sunil H. Butani Physician P.C. CurrentSince May 24, 2009 Accepting new patients
Sunil H. Butani Physician P.C. Specialist CurrentSince May 24, 2009 Accepting new patients
Timothy D. Groth MD PC CurrentSince Apr 1, 2024 Accepting new patients
Mineola Interventional Pain Management PLLC Specialist CurrentSince Feb 1, 2009 Accepting new patients

Locations

184 Old Country Rd
Mineola, NY 11501
Phone (516) 294-4457

1010 Sunrise Hwy
Rockville Ctr, NY 11570
Phone (516) 377-7213

1500 William Floyd Pkwy
Ste 201
Shirley, NY 11967
Phone (631) 205-0800

994 W Jericho Tpke
Ste 104
Smithtown, NY 11787
Phone (516) 400-3595

12620 101st Ave
South Richmond Hill, NY 11419
Phone (718) 322-4145

13104 Liberty Ave
South Richmond Hill, NY 11419
Phone (516) 587-0950

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1144238544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 OLD COUNTRY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014200",
            "telephone_number": "516-747-5042",
            "fax_number": "516-747-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 OLD COUNTRY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014200",
            "telephone_number": "516-747-5042",
            "fax_number": "516-747-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTANI",
        "first_name": "SUNIL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "169195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.