Individual provider Active NPI

Daljit Singh Buttar, M.D.

  • Interventional Pain Medicine Physician
  • Raleigh, NC
National Provider Identifier
1295884740
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
31714 Issued in NC
Practice address
4201 Lake Boone TRL
Suite 100
Raleigh, NC 27607-7512
Phone
(919) 510-0688
Fax
(919) 863-0257
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 31714 NC Primary
Pain Medicine Physician 208VP0000X 31714 NC
Clinical Neurophysiology Physician 2084N0600X 31714 NC
Neurology Physician 2084N0400X 31714 NC
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 31714 NC
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 31714 NC
Psychiatry Physician 2084P0800X 31714 NC

Addresses

Primary practice location

4201 Lake Boone TRL
Suite 100
Raleigh, NC 27607-7512

Mailing address

4201 Lake Boone TRL
Suite 100
Raleigh, NC 27607-7512
Phone (919) 510-0688

Other identifiers 1

IdentifierTypeStateIssuer
8920466MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050713000292 NC Practitioner - Interventional Pain ManagementPractitioner - NeurologyPractitioner - Psychiatry 7719923507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Neurology, Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4201 Lake Boone TRL
Suite 100
Raleigh, NC 27607-7511
Phone (919) 510-0688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31714NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Daljit Buttar MD PC Neurology CurrentSince Jul 5, 2009 Accepting new patients
Carolinas Spine Specialists PastSince Jul 1, 2005 Accepting new patients

Locations

4201 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (919) 510-0688

Interoperability endpoints

  • Direct secure messaging: dbuttar@564.securemail.mdnavigatorclinical.com

Organizations & group practices 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1295884740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077512",
            "telephone_number": "919-510-0688",
            "fax_number": "919-863-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077512",
            "telephone_number": "919-510-0688",
            "fax_number": "919-863-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTAR",
        "first_name": "DALJIT",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "31714",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "31714",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NC",
            "license": "31714",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "31714",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NC",
            "license": "31714",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NC",
            "license": "31714",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "31714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920466",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.