Individual provider Active NPI

Gary J Butchko, M.D.

  • Pediatric Cardiology Physician
  • Cleveland, OH
National Provider Identifier
1285620203
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
35.073196 Issued in OH
Practice address
9500 Euclid Ave # M41
Cleveland, OH 44195-0001
Phone
(216) 445-5000
Fax
(216) 455-3692
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.073196 OH
Pediatric Cardiology Physician 2080P0202X 35.073196 OH Primary
Pediatric Cardiology Physician 2080P0202X P7402 TX

Addresses

Primary practice location

9500 Euclid Ave # M41
Cleveland, OH 44195-0001

Mailing address

9500 Euclid Ave # M41
Cleveland, OH 44195-0001
Phone (216) 399-6248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090131000003 OH Practitioner - Cardiovascular Disease (Cardiology) 9739243007 Reassigns benefits to 3 organizations
I20240611002857 NY Practitioner - Pediatric Medicine 9739243007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.073196OHMDPediatric Cardiology Physician
P7402TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Apr 2, 2019 Accepting new patients
The Metrohealth System Pediatrics CurrentSince Apr 2, 2019 Accepting new patients
Arnot Ogden Medical Center CurrentSince May 6, 2024 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Apr 27, 2022 Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Feb 1, 2020 Accepting new patients
Arnot Medical Services PLLC CurrentSince May 6, 2024 Accepting new patients
Arnot Ogden Medical Center CurrentSince May 6, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

600 Ivy St
Ste 208
Elmira, NY 14905
Phone (607) 735-5790

600 Ivy St
Ste 206
Elmira, NY 14905
Phone (607) 271-2050

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

9500 Euclid Ave
#M41
Cleveland, OH 44195
Phone (216) 445-6532

11100 Euclid Ave
Cleveland Heights, OH 44106

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1285620203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # M41",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-399-6248",
            "fax_number": "216-445-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # M41",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-5000",
            "fax_number": "216-455-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHKO",
        "first_name": "GARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.073196",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OH",
            "license": "35.073196",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "P7402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.