Individual provider Active NPI

Brett W Butler, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Washington, MI
National Provider Identifier
1730148313
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
BB001542 Issued in MI
Practice address
64580 Van Dyke Rd Ste a
Washington, MI 48095-2811
Phone
(586) 752-3519
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Romeo Foot Clinic PC 2 clinicians

Practice addresses (Care Compare)

64580 Van Dyke Rd
Suite a
Washington, MI 48095-2811
Phone (586) 752-3519

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Merit-based Incentive Payment System (MIPS)

Final score
38.33 of 100Reported as individual
Quality
76.67
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue96
Removal of skin lesions12
Removal of nail tissue173
Removal or shaving of skin growth1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000299 MI Practitioner - Podiatry 8426031519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BB001542MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Romeo Foot Clinic, PC Podiatrist CurrentSince Jul 1, 1984 Accepting new patients

Locations

15055 22 Mile Rd
Ste A1
Shelby Township, MI 48315
Phone (810) 247-2050

64580 Van Dyke Rd
Washington, MI 48095
Phone (586) 752-3519

64580 Van Dyke Rd
Ste A
Washington, MI 48095
Phone (586) 752-3519

Interoperability endpoints

  • Direct secure messaging: bbutler63271@direct.hfhs.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X BB001542 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

64580 Van Dyke Rd Ste a
Washington, MI 48095-2811

Mailing address

64580 Van Dyke Rd Ste a
Washington, MI 48095-2811
Phone (586) 752-3519

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3040707MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2007.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1730148313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64580 VAN DYKE RD STE A",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952811",
            "telephone_number": "586-752-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64580 VAN DYKE RD STE A",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952811",
            "telephone_number": "586-752-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "BRETT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "BB001542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3040707",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MI

Sources for this page

Verify at the official NPI Registry.