Individual provider Active NPI

Teodor D Butiu, MD

  • Pediatrics Physician
  • Sunnyside, WA
National Provider Identifier
1366544116
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD60119852 Issued in WA
Practice address
1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone
(509) 837-1500
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD60119852 WA Primary

Addresses

Primary practice location

1016 Tacoma Ave
Sunnyside, WA 98944-2263

Mailing address

PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-1617

Other identifiers 3

IdentifierTypeStateIssuer
1366544116MedicaidWA
0259624OtherWAL&I
315531OtherWAL&I POST 7/21/13

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100421000268 WA Practitioner - Pediatric Medicine 8527066711 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Medical Center Toppenish CurrentSince Nov 1, 2021 Accepting new patients
SHC Medical Center Toppenish Current Accepting new patients
Sunnyside Community Hospital Association CurrentSince Nov 1, 2021 Accepting new patients
Sunnyside Community Hospital Association Pediatrics CurrentSince Nov 1, 2021 Accepting new patients
Sunnyside Community Hospital Outpatient Center 5 CurrentSince Nov 1, 2021 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients

Locations

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

516 W 4th Ave
Toppenish, WA 98948
Phone (509) 865-1555

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

1420 Ahtanum Ridge Dr
Union Gap, WA 98903
Phone (509) 454-7700

915 Vintage Valley Pkwy
Ste 200
Zillah, WA 98953
Phone (509) 314-6565

Organizations & group practices 7

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1366544116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 TACOMA AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442263",
            "telephone_number": "509-837-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTIU",
        "first_name": "TEODOR",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60119852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366544116",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0259624",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I POST 7/21/13",
            "identifier": "315531",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.