NPIMap

Individual provider Active NPI

Alexander Butkevich, M.D.

  • Cardiovascular Disease Physician
  • Pearland, TX
National Provider Identifier
1417980160
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L8293 Issued in TX
Practice address
12234 Shadow Creek Pkwy Ste 6106
Pearland, TX 77584-7338
Phone
(713) 436-6653
Fax
(713) 436-6365
NPI assigned
Jul 8, 2006
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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 L8293 TX
Cardiovascular Disease Physician 207RC0000X L8293 TX Primary

Addresses

Primary practice location

12234 Shadow Creek Pkwy Ste 6106
Pearland, TX 77584-7338

Mailing address

12234 Shadow Creek Pkwy Ste 6106
Pearland, TX 77584-7338
Phone (713) 436-6653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000427 TX Practitioner - Cardiovascular Disease (Cardiology) 5698777878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12234 Shadow Creek Pkwy
Suite 6106
Pearland, TX 77584-7338
Phone (713) 436-6653

6624 Fannin St
Suite 1990
Houston, TX 77030-2330
Phone (713) 436-6653

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8293TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ab Cardiology, PLLC Cardiovascular Disease CurrentSince Feb 1, 2008 Accepting new patients
Ab Cardiology PLLC Cardiovascular Disease Current Accepting new patients
MHS Physicians of Texas Internal Medicine Past Accepting new patients
Quantum Emergency Physicians PA Internal Medicine Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
East Houston Specialists PLLC Cardiovascular Disease Past Accepting new patients

Locations

6624 Fannin St
Ste 1990
Houston, TX 77030
Phone (713) 436-6653

6624 Fannin St
Ste 2250
Houston, TX 77030
Phone (713) 436-6653

12234 Shadow Creek Pkwy
#6
Pearland, TX 77584
Phone (713) 436-6653

12234 Shadow Creek Pkwy
Ste 6106
Pearland, TX 77584
Phone (713) 436-6653

1801 Country Place Pkwy
Ste 114
Pearland, TX 77584
Phone (713) 436-6653

Interoperability endpoints

  • Direct secure messaging: abutkevich36818@directhoustonmethodist.org

Organizations & group practices 6

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 3

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1417980160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 6106",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847338",
            "telephone_number": "713-436-6653",
            "fax_number": "713-436-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 6106",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847338",
            "telephone_number": "713-436-6653",
            "fax_number": "713-436-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTKEVICH",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8293",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L8293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.