Active NPI
Renita Danette Butler, M.D.
- Internal Medicine Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 227815
- Practice address
- 159 Barnegat Rd FL 2
Poughkeepsie, NY 12601-5401 - Phone
- (845) 471-3500
- Fax
- (877) 546-3181
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 227815 | NY | |
| Internal Medicine Physician | 207R00000X | 227815 | NY | Primary |
Addresses
Primary practice location
159 Barnegat Rd FL 2
Poughkeepsie, NY 12601-5401
Mailing address
111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187
Other practice location 1
400 Westage Business Ctr Dr Ste 211
Fishkill, NY 12524-2267
Phone (845) 471-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02409350 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Meharry Medical College School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Clock Towe CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187
Hospital & facility affiliations
- Vassar Brothers Medical Center
- Westchester Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| Chouhdry and Butler Physician Services, PLLC | Internal Medicine | Past | Accepting new patients |
| Catskill Regional Medical Center | Internal Medicine | Past | Accepting new patients |
| Mid- Hudson Medical Group P C | Past | Accepting new patients |
Locations
111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915
400 Westage Business Ctr Dr
Ste 211
Fishkill, NY 12524
Phone (845) 471-3500
400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392
159 Barnegat Rd
Fl 2
Poughkeepsie, NY 12601
Phone (845) 452-9800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJAHCA
- renita.butler@nmgmd.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Brewster, NY
- NPI 1174994826
-
- Family Medicine Physician
- Monticello, NY
- NPI 1720039563
Internal Medicine
-
- Internal Medicine Physician
- Liberty, NY
- NPI 1316199284
-
- Family Medicine Physician
- Fishkill, NY
- NPI 1043358815
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1851398697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLOCK TOWER CMNS",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094055",
"telephone_number": "845-279-5187",
"fax_number": "845-279-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 BARNEGAT RD FL 2",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126015401",
"telephone_number": "845-471-3500",
"fax_number": "877-546-3181"
}
],
"practiceLocations": [
{
"address_1": "400 Westage Business Ctr Dr Ste 211",
"address_purpose": "LOCATION",
"city": "Fishkill",
"state": "NY",
"postal_code": "125242267",
"country_code": "US",
"telephone_number": "845-471-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "RENITA",
"middle_name": "DANETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "227815",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "227815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02409350",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.