NPIMap

Individual provider Active NPI

Leon Everett Butler Jr., M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1689754822
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42017 Issued in KY
Practice address
16605 Chestnut Glen PL
Louisville, KY 40245-6121
Phone
(502) 709-0430
Fax
(502) 272-5116
NPI assigned
Oct 16, 2006
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301038306 MI
Internal Medicine Physician 207R00000X 01068145A IN
Internal Medicine Physician 207R00000X 42017 KY Primary

Addresses

Primary practice location

16605 Chestnut Glen PL
Louisville, KY 40245-6121

Mailing address

16605 Chestnut Glen PL
Louisville, KY 40245-6121
Phone (502) 709-0430

Other practice location 1

9204 Taylorsville Rd Ste 217
Louisville, KY 40299-1789
Phone (502) 709-0430

Other identifiers 1

IdentifierTypeStateIssuer
7100070770MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20090310000626 KY Practitioner - Internal Medicine 2961568365 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abode Care Partners Al VB LLCGroup PAC ID 1658403704, 48 clinicians
Abode Care Partners LTC VB LLCGroup PAC ID 8325316516, 81 clinicians

Practice addresses (Care Compare)

2529 Six Mile LN
Louisville, KY 40220-2934
Phone (502) 491-5560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
12.22 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
40.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301038306MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Apr 1, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Gim of Kentucky PLLC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Sep 9, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Sep 9, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2017 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Sep 9, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Sep 9, 2024 Accepting new patients
Landmark of Iriquois Park Rehabilitation and Nursing Center Past Accepting new patients
LP Carrollton, LLC Past Accepting new patients
LP Pine Knot, LLC Past Accepting new patients
Green Meadows SNF Operations LLC Past Accepting new patients
Northpoint Senior Services Ky I LLC Past Accepting new patients
Henderson County Health Care Corporation Past Accepting new patients
LP Beattyville LLC Past Accepting new patients
LP Columbia Ky, LLC Past Accepting new patients
LP Radcliff, LLC Past Accepting new patients
Morganfield Opco LLC Past Accepting new patients
Grayson Housing Incorporated Past Accepting new patients
Landmark of Lancaster Rehabilitation and Nursing Center Past Accepting new patients
Reliantmd Telehealth Group PLLC Internal Medicine Past Accepting new patients
Grayson Nursing & Rehabilitation Center LLC Past Accepting new patients
Parkwood SNF Operations LLC Past Accepting new patients
LP Brodhead LLC Past Accepting new patients
Village of Lebanon II, LLC Past Accepting new patients
Elizabethtown Opco LLC Past Accepting new patients
Leitchfield Ky Opco LLC Past Accepting new patients
Bradford Square Health Center LLC Past Accepting new patients
Bedrock HC at Green Meadows LLC Past Accepting new patients
Bracken Ky Opco LLC Past Accepting new patients
CF Opco LLC Past Accepting new patients
LP Hodgenville LLC Past Accepting new patients
Springfield Health Center LLC Past Accepting new patients
LP E-Town, LLC Past Accepting new patients
Henderson Opco LLC Past Accepting new patients
LP Danville, LLC Past Accepting new patients

Locations

708 Bartley Ave
Bardstown, KY 40004
Phone (502) 348-9260

1101 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 765-6106

1930 Bishop Ln
Ste 1600
Louisville, KY 40218
Phone (502) 272-5034

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

3001 N Hurstbourne Pkwy
Louisville, KY 40241
Phone (502) 412-3775

446 Mount Holly Ave
Louisville, KY 40206
Phone (502) 897-1646

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9204 Taylorsville Rd
Ste 217
Louisville, KY 40299
Phone (502) 709-0430

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

420 E Grundy Ave
Springfield, KY 40069
Phone (859) 336-7771

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Proactive LTC ConsultingHenderson, KY, CCN 185124 Skilled nursing facility Adp of the SNF Jun 1, 2017
Breckinridge PlaceMorganfield, KY, CCN 185465 Skilled nursing facility W-2 Managing Employee
Adp of the SNF		 Oct 1, 2022
Dec 30, 2024
Perkins Country ManorAugusta, KY, CCN 185344 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
May 1, 2025
Grayson Nursing an Drehab CenterLeitchfield, KY, CCN 185177 Skilled nursing facility Adp of the SNF Oct 20, 2023
Great Meadows Health & RehabilitationMount Washington, KY, CCN 185464 Skilled nursing facility Adp of the SNF Nov 1, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 38

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.

View all 38

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1689754822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 CHESTNUT GLEN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402456121",
            "telephone_number": "502-709-0430",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 CHESTNUT GLEN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402456121",
            "telephone_number": "502-709-0430",
            "fax_number": "502-272-5116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9204 Taylorsville Rd Ste 217",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402991789",
            "country_code": "US",
            "telephone_number": "502-709-0430",
            "fax_number": "502-245-6651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LEON",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301038306",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01068145A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "42017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100070770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.