Individual provider Active NPI

Melissa Sue Butts, D.O.

  • Internal Medicine Physician
  • Roseville, CA
National Provider Identifier
1790945756
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102202593 Issued in VA
Practice address
2510 Douglas Blvd Ste 300
Roseville, CA 95661-3302
Phone
(855) 446-8628
NPI assigned
Jun 12, 2008
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102202593 VA Primary
Rheumatology Physician 207RR0500X 20A16394 CA

Addresses

Primary practice location

2510 Douglas Blvd Ste 300
Roseville, CA 95661-3302

Mailing address

Telemed2U
2510 Douglas Blvd Suite 300
Roseville, CA 95661
Phone (855) 446-8628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180628002790 CA Practitioner - Rheumatology 6608170386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Telemedicine Group PCGroup PAC ID 9830351824, 94 clinicians
Siskiyou Hospital IncGroup PAC ID 1254223134, shared by 2 NPIs, 96 clinicians

Practice addresses (Care Compare)

3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721

444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16394CAMDRheumatology Physician
16394CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Telehealth Specialty Medical Group CurrentSince Jun 15, 2018 Accepting new patients
Karuk Tribe CurrentSince Jan 1, 2022 Accepting new patients
Karuk Tribe Current Accepting new patients
Tele-Medicine Services Ny, PLLC Internal Medicine PastSince Apr 27, 2025 Accepting new patients
Karuk Tribe Past Accepting new patients

Locations

2510 Douglas Blvd
Ste 300
Roseville, CA 95661
Phone (279) 600-4411

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

1519 S Oregon St
Yreka, CA 96097
Phone (530) 842-9200

Interoperability endpoints

  • Direct secure messaging: telemed2u.melissabutts@160918.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1790945756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TELEMED2U",
            "address_2": "2510 DOUGLAS BLVD SUITE 300",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "855-446-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 DOUGLAS BLVD STE 300",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613302",
            "telephone_number": "855-446-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102202593",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "20A16394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.