Individual provider Active NPI

Manish Janardhan Butte, M.D., PH.D.

  • Pediatric Allergy/Immunology Physician
  • Los Angeles, CA
National Provider Identifier
1801861216
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
A110453 Issued in CA
Practice address
PO Box 951556
Los Angeles, CA 90095-2200
Phone
(310) 825-0768
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A110453 CA
Pediatric Allergy/Immunology Physician 2080P0201X A110453 CA Primary

Addresses

Primary practice location

PO Box 951556
Los Angeles, CA 90095-2200

Mailing address

221 Westwood PLZ
Box 951556
Los Angeles, CA 90095-1556

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
I20100601000729 CA Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 7416950639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Allergy/Immunology
Education
Warren Alpert Medical School of Brown University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UC RegentsGroup PAC ID 4587568829, 97 clinicians

Practice addresses (Care Compare)

200 Medical Plaza
Suite 265
Los Angeles, CA 90095-0001
Phone (310) 825-0867

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
82.13
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110453CAMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Pediatric Allergy/Immunology CurrentSince Dec 1, 2016 Accepting new patients
UCLA Medical Group Past Accepting new patients
Stanford Health Care Past Accepting new patients
Children'S Hospital Pediatric Associates, Inc Pediatric Allergy/Immunology PastSince Oct 22, 2023 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients

Locations

200 Medical Plz
Ste 265
Los Angeles, CA 90095
Phone (310) 206-6581

200 UCLA Medical Plz
Ste 265
Los Angeles, CA 90095
Phone (310) 206-2429

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

10833 Le Conte Ave
#12311
Los Angeles, CA 90095
Phone (310) 825-9124

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

1260 15th St
Ste 1024
Santa Monica, CA 90404
Phone (424) 259-8570

Interoperability endpoints

  • Direct secure messaging: mbutte738071@direct.memorialcare.org
  • Direct secure messaging: mbutte505627@direct.uclahealth.org

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 and National Provider Directory roles.

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1801861216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLZ",
            "address_2": "BOX 951556",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 951556",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900952200",
            "telephone_number": "310-825-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTE",
        "first_name": "MANISH",
        "middle_name": "JANARDHAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A110453",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CA",
            "license": "A110453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.