Individual provider Active NPI

Michael T. Butterfield, M.D.

  • Diagnostic Radiology Physician
  • Southfield, MI
National Provider Identifier
1770815193
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
AP2742713-420 Issued in MI
Practice address
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone
(248) 849-3000
NPI assigned
Feb 10, 2010
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X AP2742713-420 MI Primary

Addresses

Primary practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Mailing address

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20150624002425 MO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7416106117 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology LLCGroup PAC ID 6305942129, 3 clinicians
Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians
Columbia Radiology Imaging Services, LLCGroup PAC ID 8224002886, 3 clinicians
Advanced Radiology of Jefferson City, LLCGroup PAC ID 6800969528, 3 clinicians

Practice addresses (Care Compare)

1037 Palisades Blvd
Suite 7
Osage Beach, MO 65065-3527
Phone (573) 746-7010

1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700

311 N Keene St
Columbia, MO 65201-6623
Phone (573) 442-1788

3218 W Edgewood Dr
Suite 200
Jefferson City, MO 65109-6951
Phone (573) 554-9806

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP2742713-420MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology LLC Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Macon County Samaritan Hospital CurrentSince Sep 15, 2015 Accepting new patients
Advanced Radiology of Jefferson City, LLC Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Oct 1, 2016 Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Oct 1, 2016 Accepting new patients
Open MRI of Michigan Past Accepting new patients

Locations

1 S Keene St
Columbia, MO 65201
Phone (573) 443-2402

311 N Keene St
Columbia, MO 65201
Phone (573) 442-1788

3218 W Edgewood Dr
Ste 200
Jefferson Cty, MO 65109
Phone (573) 554-9806

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

1037 Palisades Blvd
Ste 7
Osage Beach, MO 65065
Phone (573) 442-1788

Organizations & group practices 8

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 1

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": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1770815193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERFIELD",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "AP2742713-420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.