Individual provider Active NPI

Jeffrey L Butts, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Boerne, TX
National Provider Identifier
1831246842
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
H7939 Issued in TX
Practice address
37131 Interstate 10 W
Suite 101
Boerne, TX 78006-8989
Phone
(830) 249-8400
Fax
(830) 255-4660
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X H7939 TX Primary

Addresses

Primary practice location

37131 Interstate 10 W
Suite 101
Boerne, TX 78006-8989

Mailing address

37131 Interstate 10 W
Suite 101
Boerne, TX 78006-8989
Phone (830) 249-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140926000412 TX Practitioner - Addiction MedicinePractitioner - Family Practice 4981824968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

328 W Houston St
San Antonio, TX 78205-2415
Phone (210) 764-3700

Hospital & facility affiliations

  • Texas Institute for Surgery at Presbyterian Hospit Hospital, Dallas, TX, CCN 450889

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Medicine Consultants of Texas, PLLC Addiction Medicine CurrentSince Jun 14, 2014 Accepting new patients
Recovery Capital Group, Inc Addiction Medicine CurrentSince Sep 1, 2024 Accepting new patients
Omsrijas, LLC Past Accepting new patients
Omsrijas, LLC Past Accepting new patients
CPF Omega Recovery LLC Past Accepting new patients
Fundamentals of Recovery LLC Past Accepting new patients

Locations

37131 Interstate 10 W
Ste 101
Boerne, TX 78006
Phone (817) 472-9369

37131 Interstate 10 W
#101
Boerne, TX 78006
Phone (830) 249-8400

6243 W Interstate 10
Ste 1050
San Antonio, TX 78201
Phone (210) 293-0883

328 W Houston St
San Antonio, TX 78205
Phone (210) 225-3764

Organizations & group practices 6

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831246842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37131 INTERSTATE 10 W",
            "address_2": "SUITE 101",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068989",
            "telephone_number": "830-249-8400",
            "fax_number": "830-255-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37131 INTERSTATE 10 W",
            "address_2": "SUITE 101",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068989",
            "telephone_number": "830-249-8400",
            "fax_number": "830-255-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TX",
            "license": "H7939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.