Active NPI
Charles W Butrick, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Overland Park, KS
National Provider Identifier
1295737633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 042241
- Practice address
- 6730 W 121St St
Overland Park, KS 66209-2002 - Phone
- (913) 307-0044
- Fax
- (913) 948-5380
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | A13916 | KS | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 042241 | KS | Primary |
Addresses
Primary practice location
6730 W 121St St
Overland Park, KS 66209-2002
Mailing address
6730 W 121St St
Overland Park, KS 66209-2002
Phone (913) 307-0044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-22411 | Other | KS | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.5 of 100
- Quality
- 95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042241 | KS | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
| A13916 | KS | MD | Gynecology Physician |
| 22411 | KS | MD | Surgery of the Hand (Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care for Women, LLC | Urogynecology and Reconstructive Pelvic Surgery | Past | Accepting new patients |
| Kansas City Women'S Clinic | Past | Accepting new patients | |
| Juan C. Nosti MD PA | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Gynecology Physician
- Shawnee, KS
- NPI 1467659813
Urogynecology and Reconstructive Pelvic Surgery
-
- Specialist
- Shawnee Mission, KS
- NPI 1104155746
-
- Obstetrics & Gynecology Physician
- Overland Park, KS
- NPI 1073566774
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1295737633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6730 W 121ST ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092002",
"telephone_number": "913-307-0044",
"fax_number": "913-296-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6730 W 121ST ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092002",
"telephone_number": "913-307-0044",
"fax_number": "913-948-5380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTRICK",
"first_name": "CHARLES",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "KS",
"license": "A13916",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "KS",
"license": "042241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "04-22411",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.