NPIMap

Individual provider Active NPI

Devang Ramesh Butani, DO

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1245585017
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A-2033-17 Issued in NM
Practice address
500 Walter St NE Ste 101
Albuquerque, NM 87102-2541
Phone
(505) 410-1924
NPI assigned
Jul 18, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Associates, LLC 326 clinicians

Practice addresses (Care Compare)

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000

Hospital & facility affiliations

  • High Desert Hospice Hospice, Albuquerque, NM, CCN 321572
  • Nevaeh Hospice Inc Hospice, Albuquerque, NM, CCN 321583
  • Lilycare of New Mexico Hospice, Albuquerque, NM, CCN 321593
  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
  • Las Palomas Center Nursing home, Albuquerque, NM, CCN 325036

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20170517000599 NM Practitioner - Internal Medicine 6507087228 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-2033-17NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abq Dna LLC CurrentSince May 1, 2022 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Apr 13, 2020 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Apr 1, 2017 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Apr 13, 2020 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Apr 1, 2017 Accepting new patients
Lovelace Health System LLC Past Accepting new patients
Lilycare of New Mexico LLC PastSince Apr 1, 2023 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

500 Walter St NE
Ste 101
Albuquerque, NM 87102
Phone (505) 410-1924

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: dbutani7094@ahs.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A-2033-17 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

500 Walter St NE Ste 101
Albuquerque, NM 87102-2541

Mailing address

1380 Rio Rancho Dr SE # 262
Albuquerque, NM 87124-1006
Phone (505) 410-1924

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2022.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1245585017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 RIO RANCHO DR SE # 262",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871241006",
            "telephone_number": "505-410-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WALTER ST NE STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022541",
            "telephone_number": "505-410-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTANI",
        "first_name": "DEVANG",
        "middle_name": "RAMESH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "A-2033-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.