Individual provider Active NPI

Robert Butts, MD

  • Family Medicine Physician
  • Vandalia, IL
National Provider Identifier
1245323898
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036096697 Issued in IL
Practice address
1442 N 8TH St
Suite C
Vandalia, IL 62471-1027
Phone
(618) 283-0266
Fax
(618) 283-0519
NPI assigned
Oct 2, 2006
Last updated
May 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036096697 IL Primary

Addresses

Primary practice location

1442 N 8TH St
Suite C
Vandalia, IL 62471-1027

Mailing address

1442 N 8TH St
Suite C
Vandalia, IL 62471-1027
Phone (618) 283-0266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040206000281 IL Practitioner - Family PracticePractitioner - Emergency Medicine 4183517774 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036096697ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince May 15, 2013 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince May 15, 2013 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Family Medicine Past Accepting new patients

Locations

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

1442 N 8th St
Ste C
Vandalia, IL 62471
Phone (618) 283-0266

650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231

Organizations & group practices 4

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1245323898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 N 8TH ST",
            "address_2": "SUITE C",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711027",
            "telephone_number": "618-283-0266",
            "fax_number": "618-283-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 N 8TH ST",
            "address_2": "SUITE C",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711027",
            "telephone_number": "618-283-0266",
            "fax_number": "618-283-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036096697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, IL

Sources for this page

Verify at the official NPI Registry.