Keith Claude Butler, MD MBA FACEP CPE

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

26876 Issued in AZ

Practice address

70 S Val Visa
Suite A3-624
Gilbert, AZ 85296-1335

Phone

(877) 336-6898

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

Practice roles

Locations

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.

• Tec Emergency Physicians of Arizona, LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1245772870
  Medicare reassignment NPD Authorized official
• Chandler Emergency Medical Group, LLC

  dba Premier Emergency Medical Specialists

  • Emergency Medicine Physician
  • Chandler, AZ
  • NPI 1104871961
  Medicare reassignment NPD
• Valley Hyperbarics LLC

  • Personal Emergency Response Attendant
  • Chandler, AZ
  • NPI 1760439244
  Medicare reassignment NPD
• Cobre Valley Emergency Services, LLC

  • Emergency Medicine Physician
  • Globe, AZ
  • NPI 1477368710
  NPD (past) Authorized official
• Tec Radiology, PLLC

  • Diagnostic Radiology Physician
  • Gilbert, AZ
  • NPI 1942052824
  Authorized official Same address or phone
• The Emergency Center at Morrison Ranch, LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1740722743
  Authorized official Same address or phone
• The Emergency Center at Alamo Ranch, LLC

  • Emergency Care Clinic/Center
  • San Antonio, TX
  • NPI 1174059208
  Authorized official Same address or phone
• The Emergency Center of Arlington, LLC

  • Emergency Care Clinic/Center
  • Arlington, TX
  • NPI 1447793708
  NPD (past) Authorized official
• Critical Care Consultants LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Gilbert, AZ
  • NPI 1669511432
  NPD
• Ingenuity Medical Group LLC

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1417986118
  NPD (past)
• Payson Hospital Corporation

  dba Payson Regional Medical Center

  • Anesthesiology Physician
  • Payson, AZ
  • NPI 1972792588

  Emergency Medicine

  NPD (past)
• Surgical Specialty Hospital of Arizona, LLC

  dba The Core Institute Specialty Hospital

  • Special Hospital
  • Phoenix, AZ
  • NPI 1902881295
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1679519391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S VAL VISA",
            "address_2": "SUITE A3-624",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961335",
            "telephone_number": "877-336-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S VAL VISA",
            "address_2": "SUITE A3-624",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961335",
            "telephone_number": "877-336-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KEITH",
        "middle_name": "CLAUDE",
        "name_prefix": "Dr.",
        "credential": "MD MBA FACEP CPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "AZ",
            "license": "26876",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "26876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Busch, CRNA
• Bryan Bussone, PA-C
• Karen L Bustillo, PT, DPT
• Mikayla Butkus, PMHNP-BC
• Demario Butler
• Kim-Ellen Butler, SLP
• Kolette A Butler, PSYD
• Mikal I Butler
• Blair T Butterfield, D.O.
• Emily Danielle Butters, PT, DPT

• Emergency Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.