Individual provider Active NPI

Matthew Allen Butler, MD

  • Cardiovascular Disease Physician
  • Merriam, KS
National Provider Identifier
1326359308
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
04-36315 Issued in KS
Practice address
9119 W 74TH St Ste 350
Merriam, KS 66204-2268
Phone
(913) 632-9400
Fax
(913) 632-9444
NPI assigned
Jun 24, 2010
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-36315 KS
Cardiovascular Disease Physician 207RC0000X 04-36315 KS Primary

Addresses

Primary practice location

9119 W 74TH St Ste 350
Merriam, KS 66204-2268

Mailing address

9119 W 74TH St Ste 350
Merriam, KS 66204-2268
Phone (913) 632-9400

Other practice location 1

7840 W 165th St Ste 260
Overland Park, KS 66223-3020
Phone (913) 632-9400

Other practice location 2

7025 College Blvd Ste 300
Overland Park, KS 66211-1523
Phone (913) 632-9400

Other practice location 3

901 S Main St
Ottawa, KS 66067-3315
Phone (785) 268-4134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20130810000033 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Emergency Medicine 0446492029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Ransom Memorial IncGroup PAC ID 4486996907, 40 clinicians

Practice addresses (Care Compare)

1301 S Main St
Adventhealth Medical Group
Ottawa, KS 66067-3537
Phone (785) 229-3367

9119 W 74TH St
350 Ahmg Cardiology Vascular and Cardiot
Merriam, KS 66204-2268
Phone (913) 632-9400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-36315KSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Ransom Memorial, Inc. CurrentSince Nov 5, 2019 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince Nov 5, 2019 Accepting new patients
Shawnee Mission Medical Center Inc Internal Medicine CurrentSince Aug 15, 2017 Accepting new patients

Locations

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

901 S Main St
Ottawa, KS 66067
Phone (785) 229-8888

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9119 W 74th St
Ste 350
Shawnee Msn, KS 66204
Phone (913) 632-9400

Interoperability endpoints

  • Direct secure messaging: mbutler661023@adventhealth.direct-ci.com

Organizations & group practices 3

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 7

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1326359308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST STE 350",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042268",
            "telephone_number": "913-632-9400",
            "fax_number": "913-632-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST STE 350",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042268",
            "telephone_number": "913-632-9400",
            "fax_number": "913-632-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7840 W 165th St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662233020",
            "country_code": "US",
            "telephone_number": "913-632-9400",
            "fax_number": "913-632-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7025 College Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111523",
            "country_code": "US",
            "telephone_number": "913-632-9400",
            "fax_number": "913-632-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660673315",
            "country_code": "US",
            "telephone_number": "785-268-4134",
            "fax_number": "785-242-6817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MATTHEW",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-36315",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-36315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.