NPIMap

Individual provider Active NPI

Bilal Butt, MD

  • Neurology Physician
  • Springfield, IL
National Provider Identifier
1184979551
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036-144754 Issued in IL
Practice address
751 N Rutledge St Ste 3100
Springfield, IL 62702
Phone
(217) 545-8000
Fax
(217) 545-7363
NPI assigned
Jul 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurocritical Care Physician 2084A2900X 036-144754 IL
Neurology Physician 2084N0400X 036-144754 IL Primary

Addresses

Primary practice location

751 N Rutledge St Ste 3100
Springfield, IL 62702

Mailing address

PO Box 19643
Springfield, IL 62794-9643
Phone (217) 545-8000

Other identifiers 1

IdentifierTypeStateIssuer
036-144754OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bilalbutt@siusm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MD, DC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180702002029 IL Practitioner - Neurology 8729380654 Reassigns benefits to 1 organization
I20220407002332 MD Practitioner - Neuropsychiatry 8729380654 Reassigns benefits to 2 organizations
I20231201001179 DC Practitioner - Neurology 8729380654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shock Trauma Associates PAGroup PAC ID 6800882317, 258 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6704

2200 Kernan Dr
Baltimore, MD 21207-6665
Phone (410) 448-6383

901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-144754ILMDNeurocritical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Jul 2, 2018 Accepting new patients
University of Maryland Neurology Associates, P.a. CurrentSince Apr 16, 2022 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Jul 28, 2022 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
University of Maryland Neurology Associates, P.a. Current Accepting new patients
University of Maryland Neurology Associates, P.a. CurrentSince Apr 16, 2022 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region Neurology CurrentSince Oct 18, 2023 Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Oct 18, 2023 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jul 2, 2018 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients
University of Maryland Neurology Associates, P.a. PastSince Jan 26, 2020 Accepting new patients

Locations

751 N Rutledge St
Ste 3100
Springfield, IL 62702
Phone (217) 545-8417

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

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 5

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1184979551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19643",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949643",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N RUTLEDGE ST STE 3100",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62702",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTT",
        "first_name": "BILAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "IL",
            "license": "036-144754",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-144754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036-144754",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bilalbutt@siusm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "751 N Rutledge St Ste 3100",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.