Individual provider Active NPI

Elizabeth Butler, M.D./M.P.H.

  • Pediatrics Physician
  • East Greenwich, RI
National Provider Identifier
1245677368
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD15329 Issued in RI
Practice address
1672 S County TRL
Suite 201
East Greenwich, RI 02818-5098
Phone
(401) 886-7881
Fax
(401) 886-7883
NPI assigned
May 30, 2013
Last updated
Mar 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD15329 RI Primary

Addresses

Primary practice location

1672 S County TRL
Suite 201
East Greenwich, RI 02818-5098

Mailing address

1672 S County TRL
Suite 201
East Greenwich, RI 02818-5098
Phone (401) 886-7881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20140806001595 RI Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2860619343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15329RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean State Pediatrics Inc Pediatrics PastSince Jan 29, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabeth.butler.1@5974.direct.athenahealth.com

Organizations & group practices 1

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": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1245677368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 S COUNTY TRL",
            "address_2": "SUITE 201",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185098",
            "telephone_number": "401-886-7881",
            "fax_number": "401-886-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 S COUNTY TRL",
            "address_2": "SUITE 201",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185098",
            "telephone_number": "401-886-7881",
            "fax_number": "401-886-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ELIZABETH",
        "credential": "M.D./M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD15329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.