Khurram Butt, M.D.
Individual provider Active NPI Internal Medicine Physician · Dennison, OH
NPI 1437149176 · NPPES record last updated Jul 1, 2008
Key facts
- NPI
- 1437149176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35.078668 (OH)
- Practice address
- 819 N 1St St
Dennison, OH 44621-1003 - Phone
- (740) 922-0000
- Fax
- (740) 922-0025
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Physician Services LLC
Practice addresses (Care Compare)
110 Dublin Dr
Dover, OH 44622-7805
Phone (330) 364-9088
Hospital & facility affiliations
- Union Hospital
- Twin City Medical Center
- Cleveland Clinic
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071005000141 | OH | Practitioner - Internal Medicine |
4789779745 |
Reassigns benefits to 2 organizations Practice locations: Dennison, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and Management State Accounting | Current |
Accepting new patients | |
| Twin City Hospital Corporation | Current | Accepting new patients | |
| Union Physician Services, LLC | Current |
Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current |
Accepting new patients | |
| Medcentral Professional Foundation, LLC | Internal Medicine | Past |
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
205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335
110 Dublin Dr
Dover, OH 44622
Phone (330) 343-0753
3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.078668 | OH | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2230197 | Medicaid | OH |
Other providers in Dennison, OH
- Jeffrey Bory
- Christine Bowers
- Amber J Bradford
- Anmol Brar
- Stuart K Brown
- Clay Carron
- Medha Choudhary
- Steven Clarke
- Claymont City Schools
- Communities for Disabled Americans Dot Org C-Dag
All providers in Dennison, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.