Active NPI
Robert P Butcher, MD
- Family Medicine Physician
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101055400
- Practice address
- 13347 Warwick Blvd
Newport News, VA 23602-5601 - Phone
- (757) 877-0214
- Fax
- (757) 875-0524
- NPI assigned
- Oct 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101055400 | VA | Primary |
Addresses
Primary practice location
13347 Warwick Blvd
Newport News, VA 23602-5601
Mailing address
860 Omni Blvd Ste 101
Newport News, VA 23606-4430
Phone (757) 232-8769
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5634181 | Medicaid | VA | |
| 080185988 | Other | VA | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robert.butcher.p1@direct.tpmg.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13347 Warwick Blvd
Newport News, VA 23602-5601
Phone (757) 877-0214
860 Omni Blvd
Newport News, VA 23606-4430
Hospital & facility affiliations
- Amedisys Home Health of Newport News
- Sentara Careplex Hospital
- Riverside Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 70 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physicians Multispecialty Group PC | Family Medicine | Current | Accepting new patients |
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients |
Locations
13347 Warwick Blvd
Newport News, VA 23602
Phone (757) 877-0214
860 Omni Blvd
Ste 101
Newport News, VA 23606
Phone (757) 223-9794
729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077
827 Diligence Dr
Ste 100
Newport News, VA 23606
860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777
860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGFHDD
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.
-
- Family Medicine Physician
- Newport News, VA
- NPI 1902848294
-
- Ambulatory Surgical Clinic/Center
- Williamsburg, VA
- NPI 1316790512
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hampton, VA
- NPI 1578511242
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1396735767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 OMNI BLVD STE 101",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064430",
"telephone_number": "757-232-8769",
"fax_number": "757-232-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13347 WARWICK BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236025601",
"telephone_number": "757-877-0214",
"fax_number": "757-875-0524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "ROBERT",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101055400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5634181",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080185988",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robert.butcher.p1@direct.tpmg.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "nextgen",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "network",
"address_1": "13347 Warwick Blvd",
"city": "Newport News",
"state": "VA",
"country_code": "US",
"postal_code": "236025601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.