Individual provider Active NPI

Adam Stephen Butera, M.D.

  • Psychiatry Physician
  • Wichita Falls, TX
National Provider Identifier
1376505545
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L6003 Issued in TX
Practice address
1714 10TH St
Wichita Falls, TX 76301-5011
Phone
(940) 766-4482
Fax
(940) 766-4487
NPI assigned
Apr 4, 2006
Last updated
Mar 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L6003 TX Primary

Addresses

Primary practice location

1714 10TH St
Wichita Falls, TX 76301-5011

Mailing address

1714 10TH St
Wichita Falls, TX 76301-5011
Phone (940) 766-4482

Other identifiers 1

IdentifierTypeStateIssuer
1582355-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070411000384 TX Practitioner - Psychiatry 0042315541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adam S Butera MD PAGroup PAC ID 6507961000, 7 clinicians

Practice addresses (Care Compare)

1714 10TH St
Wichita Falls, TX 76301-5011
Phone (940) 766-4482

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6003TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adam S. Butera MD PA Psychiatry CurrentSince Jan 1, 2007 Accepting new patients

Locations

1714 10th St
Wichita Falls, TX 76301
Phone (940) 322-1075

1722 9th St
Wichita Falls, TX 76301
Phone (940) 322-1075

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1376505545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015011",
            "telephone_number": "940-766-4482",
            "fax_number": "940-766-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015011",
            "telephone_number": "940-766-4482",
            "fax_number": "940-766-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTERA",
        "first_name": "ADAM",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L6003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1582355-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.