Individual provider Active NPI

Paul Edward Butts, M.D.

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1770711566
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD61366866 Issued in WA
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 916-2889
NPI assigned
Jun 30, 2009
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 52512 KY
Emergency Medicine Physician 207P00000X 036179232 IL
Emergency Medicine Physician 207P00000X 4301095019 MI
Emergency Medicine Physician 207P00000X MD61366866 WA Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2608

Other practice location 1

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721 ext. 65150

Other practice location 2

2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156 ext. 55620

Other practice location 3

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 253-0350

Other practice location 4

201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171 ext. 35130

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address pbutts91011@sih.direct-ci.com
Direct Messaging Address pbutts91011@sih.direct-ci.com
Direct Messaging Address pbutts91011@sih.direct-ci.com
Direct Messaging Address pbutts91011@sih.direct-ci.com
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2
Direct Messaging Address pbutts393124@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OK, WA, AL, WI, KY, IA, TX, IL9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20181001001404 TN Practitioner - Emergency Medicine 2466764238 Reassigns benefits to 3 organizations
I20221003000327 OK Practitioner - Emergency Medicine 2466764238 Reassigns benefits to 1 organization
I20221111001322 WA Practitioner - Emergency Medicine 2466764238 Reassigns benefits to 1 organization
I20231115000116 AL Practitioner - Emergency Medicine 2466764238 Reassigns benefits to 1 organization
I20240205001422 WI Practitioner - Emergency Medicine 2466764238 Reassigns benefits to 2 organizations
I20240313001927 KY Practitioner - Emergency Medicine 2466764238 Reassigns benefits to 3 organizations
I20241115003667 IA Practitioner - Emergency Medicine 2466764238 Reassigns benefits to 1 organization
I20260512000937 TX Practitioner - Emergency Medicine 2466764238 Reassigns benefits to 1 organization
I20260518000860 IL Practitioner - Emergency Medicine 2466764238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Meharry Medical College School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nocona Hospital DistrictGroup PAC ID 5395786180, 23 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians
Swea Fort SCGroup PAC ID 0345774972, 51 clinicians

Practice addresses (Care Compare)

100 Park Rd
Nocona, TX 76255-3616
Phone (940) 825-3235

1818 Albion St
Nashville, TN 37208-2918
Phone (615) 341-4000

200 E Chestnut St
BLDG Suite303
Louisville, KY 40202-1831
Phone (502) 629-5552

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-5475

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036179232ILMDEmergency Medicine Physician
4301095019MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Owensboro Health Medical Group, Inc CurrentSince Sep 20, 2024 Accepting new patients
The Finley Hospital Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
The Finley Hospital Emergency Medicine CurrentSince Dec 27, 2024 Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Middle Tennessee Emergency Physicians PC Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Houston County Healthcare Authority Emergency Medicine Current Accepting new patients
Swea Fort SC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Sep 20, 2024 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 5, 2018 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 16, 2024 Accepting new patients
Baptist Health Deaconess Medical Group Inc Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Houston County Healthcare Authority CurrentSince Oct 4, 2023 Accepting new patients
Emergency Medicine Specialists, S.C. Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 16, 2024 Accepting new patients
Baptist Health Deaconess Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Michael E Isabelle MD Apmc Emergency Medicine Past Accepting new patients
Tennessee Em-I Medical Services PC Past Accepting new patients
Hospital Based Medical Services of Tennessee-I PC Emergency Medicine PastSince Feb 21, 2019 Accepting new patients

Locations (25 of 46)

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

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

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

520 W Main St
Smithville, TN 37166
Phone (615) 215-5000

401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164

324 Doolittle Rd
Woodbury, TN 37190
Phone (615) 563-4001

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

3329 N Richmond St
Appleton, WI 54911
Phone (920) 380-2715

Interoperability endpoints

  • Direct secure messaging: nwmpbutts@yourcarecommunity.org
  • Direct secure messaging: pbutts571129@direct.peacehealth.org
  • Direct secure messaging: pbuttz1163876@direct.unitypoint.org

Organizations & group practices 30

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 30

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1770711566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011462",
            "country_code": "US",
            "telephone_number": "618-549-0721 x65150",
            "fax_number": "618-457-0469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Murphysboro",
            "state": "IL",
            "postal_code": "629663333",
            "country_code": "US",
            "telephone_number": "618-684-3156 x55620",
            "fax_number": "618-529-0524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Dr Warren Tuttle Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "IL",
            "postal_code": "629462718",
            "country_code": "US",
            "telephone_number": "618-253-0350",
            "fax_number": "618-252-2425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483631",
            "country_code": "US",
            "telephone_number": "618-942-2171 x35130",
            "fax_number": "618-351-4917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "52512",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036179232",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301095019",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD61366866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbutts91011@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "100 Dr Warren Tuttle Dr",
            "city": "Harrisburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629462718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbutts91011@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2 S Hospital Dr",
            "city": "Murphysboro",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629663333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbutts91011@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "405 W Jackson St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbutts91011@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "201 S 14th St",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2",
            "affiliation": "N",
            "address_1": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbutts393124@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.