NPIMap

Individual provider Active NPI

Nicholas Ryan Butler, MD

  • Family Medicine Physician
  • Coralville, IA
National Provider Identifier
1427285071
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-40314 Issued in IA
Practice address
920 E 2ND Ave Ste 201B
Coralville, IA 52241-2225
Phone
(319) 467-2000
Fax
(319) 467-2814
NPI assigned
Jun 22, 2009
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125-056824 IL
Family Medicine Physician 207Q00000X MD-40314 IA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD-40314 IA

Addresses

Primary practice location

920 E 2ND Ave Ste 201B
Coralville, IA 52241-2225

Mailing address

200 Hawkins Dr
Department of Family Medicine
Iowa City, IA 52242-1009
Phone (319) 467-2000

Other practice location 1

200 Hawkins Dr
Department of Family Medicine
Iowa City, IA 52242-1009
Phone (319) 384-7222

Other practice location 2

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 467-6789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20130827000408 IA Practitioner - Family PracticePractitioner - Geriatric Medicine 6800035155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

2751 Northgate Dr
Iowa City, IA 52245-9509
Phone (319) 384-7222

920 E 2ND Ave 201 Aandb
University of Ia Health Care Medical Center
Coralville, IA 52241-2219
Phone (319) 467-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-056824ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Family Medicine CurrentSince Jul 29, 2013 Accepting new patients

Locations

920 E 2nd Ave
Ste 201B
Coralville, IA 52241
Phone (319) 467-2000

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-2633

200 Hawkins Dr
#H
Iowa City, IA 52242

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

Interoperability endpoints

  • Direct secure messaging: nbutler60492@uihcdirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oaknoll Retirement ResidenceIowa City, IA, CCN 165030 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2018
Jul 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 9

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1427285071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-467-2000",
            "fax_number": "319-467-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 2ND AVE STE 201B",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412225",
            "telephone_number": "319-467-2000",
            "fax_number": "319-467-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_2": "Department of Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-384-7222",
            "fax_number": "319-384-7688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 Middlebury Rd",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452712",
            "country_code": "US",
            "telephone_number": "319-467-6789",
            "fax_number": "319-467-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-056824",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-40314",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IA",
            "license": "MD-40314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.