NPIMap

Individual provider Active NPI

Ahmar Butt, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1619983871
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
196291 Issued in NY
Practice address
55 Greene Ave
Brooklyn, NY 11238
Phone
(917) 763-5690
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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 196291 NY Primary

Addresses

Primary practice location

55 Greene Ave
Brooklyn, NY 11238

Mailing address

28 Cheever PL
# 2
Brooklyn, NY 11231-5261
Phone (718) 857-0404

Other identifiers 1

IdentifierTypeStateIssuer
01500958MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070810000698 NY Practitioner - Internal Medicine 5597856187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TBHC Medical Services PCGroup PAC ID 1850281916, 33 clinicians

Practice addresses (Care Compare)

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000

Hospital & facility affiliations

  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Vnsny Hospice and Palliative Care Hospice, New York, NY, CCN 331519
  • Brooklyn Hospital Center - Downtown Campus Hospital, Brooklyn, NY, CCN 330056
  • The Phoenix Rehabilitation and Nursing Center Nursing home, Brooklyn, NY, CCN 335516
  • Downtown Brooklyn Nursing & Rehabilitation Center Nursing home, Brooklyn, NY, CCN 335625
  • Cobble Hill Health Center Inc Nursing home, Brooklyn, NY, CCN 335174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196291NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TBHC Medical Services PC CurrentSince Mar 1, 2018 Accepting new patients
TBHC Physician Services PC Past Accepting new patients
The Brooklyn Hospital Center Past Accepting new patients
Prospect Acquisition I LLC Past Accepting new patients
Atlantis Operating LLC Past Accepting new patients

Locations

55 Greene Ave
Ste 1A
Brooklyn, NY 11238
Phone (718) 398-2121

14 Hanover Pl
Brooklyn, NY 11201
Phone (718) 250-8866

140 Saint Edwards St
Brooklyn, NY 11201
Phone (718) 858-6400

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

514 Fulton St
Brooklyn, NY 11201

55 Greene Ave
Brooklyn, NY 11238
Phone (718) 789-5900

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: abutt8418@prd.direct.tbh.org
  • Direct secure messaging: ahmarazizbutt@bhc.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1619983871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHEEVER PL",
            "address_2": "# 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112315261",
            "telephone_number": "718-857-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GREENE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "917-763-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTT",
        "first_name": "AHMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01500958",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.