NPIMap

Individual provider Active NPI

Daniel A Butler, M.D.

  • Surgery Physician
  • Middletown, OH
National Provider Identifier
1275523409
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35066726 Issued in OH
Practice address
4040 Roosevelt Blvd
Middletown, OH 45044-6619
Phone
(513) 424-0941
Fax
(513) 424-9758
NPI assigned
Oct 27, 2005
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35066726 OH Primary

Addresses

Primary practice location

4040 Roosevelt Blvd
Middletown, OH 45044-6619

Mailing address

4040 Roosevelt Blvd
Middletown, OH 45044-6619
Phone (513) 424-0941

Other identifiers 1

IdentifierTypeStateIssuer
0973102MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000442 OH Practitioner - General SurgeryPractitioner - Vascular Surgery 6204881691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Indiana University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 424-2111

4040 Roosevelt Blvd
Middletown, OH 45044-6619
Phone (937) 832-9310

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion19
Colonoscopy1-10
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue797
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066726OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DB MD WCC LLC Surgery CurrentSince Oct 12, 2015 Accepting new patients
Premier Health Specialists Inc Surgery Current Accepting new patients
Premier Health Specialists Inc CurrentSince Dec 1, 2020 Accepting new patients
Premier Health Specialists Inc CurrentSince Dec 1, 2020 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Atrium Medical Center Past Accepting new patients

Locations

3868 McMann Rd
Unit A
Cincinnati, OH 45245

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

4040 Roosevelt Blvd
Middletown, OH 45044
Phone (513) 424-0941

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1275523409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446619",
            "telephone_number": "513-424-0941",
            "fax_number": "513-424-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446619",
            "telephone_number": "513-424-0941",
            "fax_number": "513-424-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35066726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0973102",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.