NPIMap

Individual provider Active NPI

Monica Butcher, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Sarasota, FL
National Provider Identifier
1568968097
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
036.158797 Issued in IL
Practice address
2001 Webber St
Sarasota, FL 34239-5237
Phone
(941) 362-8900
Fax
(941) 362-8992
NPI assigned
Apr 3, 2018
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036.158797 IL Primary

Addresses

Primary practice location

2001 Webber St
Sarasota, FL 34239-5237

Mailing address

2001 Webber St
Sarasota, FL 34239-5237
Phone (941) 362-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220624001197 IL Practitioner - Pathology 0143577742 Reassigns benefits to 1 organization
I20230727002651 FL Practitioner - Pathology 0143577742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Florida College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 Webber St
Sarasota, FL 34239-5237
Phone (941) 362-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.158797ILMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Clack Spencer White & McCormack PA CurrentSince Jul 17, 2023 Accepting new patients
DRS Clack Spencer White & McCormack PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 17, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 1, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 1, 2022 Accepting new patients

Locations

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

2001 Webber St
Sarasota, FL 34239
Phone (941) 362-8900

Dept 5777
Carol Stream, IL 60122

251 E Huron St
Ste 7132I
Chicago, IL 60611
Phone (312) 926-7913

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1568968097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WEBBER ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395237",
            "telephone_number": "941-362-8900",
            "fax_number": "941-362-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WEBBER ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395237",
            "telephone_number": "941-362-8900",
            "fax_number": "941-362-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "MONICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036.158797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.