Individual provider Active NPI

Amjad I Butt, MD

  • Specialist
  • Selma, AL
National Provider Identifier
1215924667
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
38037 Issued in TN
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
105617MedicaidAL

Other names 1

  • Dr. Amjad Butt Professional name

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

LicenseStateTypeSpecialty
38037TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Roosevelt Emergency Physicians Past Accepting new patients
Regional Cardiology Consultants, PC Past Accepting new patients
Lotus Clinics PC PastSince Apr 1, 1999 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.

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.

Verify at the official NPI Registry.