Individual provider Active NPI

Khurram Butt, M.D.

  • Internal Medicine Physician
  • Dennison, OH
National Provider Identifier
1437149176
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.078668 Issued in OH
Practice address
819 N 1St St
Dennison, OH 44621-1003
Phone
(740) 922-0000
Fax
(740) 922-0025
NPI assigned
Oct 25, 2005
Last updated
Jul 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.078668 OH Primary

Addresses

Primary practice location

819 N 1St St
Dennison, OH 44621-1003

Mailing address

819 N 1St St
Dennison, OH 44621-1003
Phone (740) 922-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20071005000141 OH Practitioner - Internal MedicinePractitioner - Family Practice 4789779745 Reassigns benefits to 2 organizations
Practice locations: Dennison, OH

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians

Practice addresses (Care Compare)

110 Dublin Dr
Dover, OH 44622-7805
Phone (330) 364-9088

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
Union Physician Services, LLC CurrentSince Apr 1, 2021 Accepting new patients
Twin City Hospital Corporation Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Apr 19, 2019 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Apr 19, 2019 Accepting new patients
Medcentral Professional Foundation, LLC Internal Medicine PastSince Apr 1, 2008 Accepting new patients

Locations

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

819 N 1st St
Dennison, OH 44621
Phone (740) 922-0000

819 N 1st St
#Ten
Dennison, OH 44621
Phone (330) 365-9137

110 Dublin Dr
Dover, OH 44622
Phone (330) 343-0753

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1437149176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N 1ST ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211003",
            "telephone_number": "740-922-0000",
            "fax_number": "740-922-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N 1ST ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211003",
            "telephone_number": "740-922-0000",
            "fax_number": "740-922-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTT",
        "first_name": "KHURRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.078668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dennison, OH

Sources for this page

Verify at the official NPI Registry.