Individual provider Active NPI

Leroy Butler, DO

  • Orthopaedic Foot and Ankle Surgery Physician
  • Frisco, TX
National Provider Identifier
1528347234
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
R3481 Issued in TX
Practice address
5575 Warren Pkwy Ste 115
Frisco, TX 75034-4063
Phone
(972) 616-4000
Fax
(972) 591-6469
NPI assigned
Aug 11, 2011
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 34 TN
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X R3481 TX Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X DO2046 NV

Addresses

Primary practice location

5575 Warren Pkwy Ste 115
Frisco, TX 75034-4063

Mailing address

5575 Warren Pkwy Ste 115
Frisco, TX 75034-4063
Phone (972) 616-4000

Other practice location 1

4031 W Plano Pkwy Ste 100
Plano, TX 75093-5617
Phone (972) 985-1072

Other practice location 2

2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121
Phone (702) 731-1616

Other practice location 3

2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121
Phone (702) 731-1616

Other identifiers 1

IdentifierTypeStateIssuer
1528347234MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170829001289 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1153613369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Lincoln Memorial University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12228 N Central Expy
Suite 100
Dallas, TX 75243-3728
Phone (817) 382-6789

2560 Central Park Ave
Suite 395
Flower Mound, TX 75028-1566
Phone (817) 200-6492

5575 Warren Pkwy
Suite 115
Frisco, TX 75034-4063
Phone (518) 369-2228

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Removal of nail tissue14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2046NVMDOrthopaedic Foot and Ankle Surgery Physician
34TNMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Institute of North Texas, PA CurrentSince Sep 1, 2021 Accepting new patients
Orthopedic Institute of North Texas PA CurrentSince Sep 1, 2021 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2914 Valley View Ln
Ste 130
Farmers Brnch, TX 75234
Phone (972) 591-6468

2560 Central Park Ave
Ste 395
Flower Mound, TX 75028
Phone (817) 261-1122

5575 Warren Pkwy
Ste 115
Frisco, TX 75034
Phone (469) 200-6100

204 Medical Dr
Ste 100
Sherman, TX 75092
Phone (214) 452-7705

Organizations & group practices 3

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 5

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": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1528347234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY STE 115",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344063",
            "telephone_number": "972-616-4000",
            "fax_number": "972-591-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY STE 115",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344063",
            "telephone_number": "972-616-4000",
            "fax_number": "972-591-6469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4031 W Plano Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935617",
            "country_code": "US",
            "telephone_number": "972-985-1072",
            "fax_number": "972-964-3469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 E Desert Inn Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89121",
            "country_code": "US",
            "telephone_number": "702-731-1616",
            "fax_number": "702-731-0741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 E Desert Inn Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89121",
            "country_code": "US",
            "telephone_number": "702-731-1616",
            "fax_number": "702-731-0741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LEROY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": "34",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TX",
            "license": "R3481",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NV",
            "license": "DO2046",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528347234",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.