Active NPI
Amjad I Butt, MD
- Specialist
- Selma, AL
National Provider Identifier
1215924667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 38037
- Practice address
- 101 Park PL
Selma, AL 36701-6764 - Phone
- (334) 526-2200
- Fax
- (334) 526-2220
- NPI assigned
- Sep 30, 2005
- Last updated
- Dec 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 38037 | TN | Primary |
Addresses
Primary practice location
101 Park PL
Selma, AL 36701-6764
Mailing address
101 Park PL
Selma, AL 36701-6764
Phone (334) 526-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105617 | Medicaid | AL |
Other names 1
- Dr. Amjad Butt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38037 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roosevelt Emergency Physicians | Past | Accepting new patients | |
| Regional Cardiology Consultants, PC | Past | Accepting new patients | |
| Lotus Clinics PC | Past | Accepting new patients | |
| Terrebonne Parish Hospital Service District #1 | Past | Accepting new patients | |
| Firstcare Medical Center, PC | Past | Accepting new patients |
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.
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- Internal Medicine Physician
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- NPI 1639124431
-
- Cardiovascular Disease Physician
- Jackson, TN
- NPI 1548205602
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1043263726
-
dba Terrebonne General Medical Center
- Anesthesiology Physician
- Houma, LA
- NPI 1740248129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1215924667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PARK PL",
"city": "SELMA",
"state": "AL",
"postal_code": "367016764",
"telephone_number": "334-526-2200",
"fax_number": "334-526-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PARK PL",
"city": "SELMA",
"state": "AL",
"postal_code": "367016764",
"telephone_number": "334-526-2200",
"fax_number": "334-526-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTT",
"first_name": "AMJAD",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "38037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105617",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMJAD",
"last_name": "BUTT",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.