Individual provider Active NPI

Patrick Butsch, M.D.

  • Internal Medicine Physician
  • South Portland, ME
National Provider Identifier
1710247705
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD27629 Issued in ME
Practice address
225 Gorham Rd Ste 303
South Portland, ME 04106-2461
Phone
(207) 535-1880
Fax
(207) 535-1876
NPI assigned
May 23, 2012
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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 MD27629 ME Primary

Addresses

Primary practice location

225 Gorham Rd Ste 303
South Portland, ME 04106-2461

Mailing address

225 Gorham Rd Ste 303
South Portland, ME 04106-2461
Phone (207) 535-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151008002096 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4486871225 Reassigns benefits to 1 organization
I20240610002947 ME Practitioner - Internal MedicinePractitioner - Hospitalist 4486871225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians

Practice addresses (Care Compare)

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Shiprock Hospital Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 24, 2015 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 24, 2015 Accepting new patients
Mercy Hospital PastSince Jan 5, 2025 Accepting new patients
Mercy Hospital PastSince Jan 5, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1710247705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GORHAM RD STE 303",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062461",
            "telephone_number": "207-535-1880",
            "fax_number": "207-535-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GORHAM RD STE 303",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062461",
            "telephone_number": "207-535-1880",
            "fax_number": "207-535-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTSCH",
        "first_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD27629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.