Active NPI
Daljit Singh Buttar, M.D.
- Interventional Pain Medicine Physician
- Raleigh, NC
National Provider Identifier
1295884740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 31714
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8920466 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050713000292 | NC | Practitioner - Interventional Pain Management | 7719923507 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31714 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daljit Buttar MD PC | Neurology | Current | Accepting new patients |
| Carolinas Spine Specialists | Past | Accepting new patients |
Locations
4201 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (919) 510-0688
Interoperability endpoints
- 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.
-
- Specialist
- Raleigh, NC
- NPI 1548460405
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.