Organization Active NPI

Atta U Butt PA

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1871723288
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME87687 Issued in FL
Legal business name
ATTA U BUTT PA
Practice address
3190 N McMullen Booth Rd
Suite 201
Clearwater, FL 33761-2013
Phone
(727) 741-5538
NPI assigned
Jul 20, 2009
Last updated
Jul 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Dr. Atta U Butt, MDNPI 1083727317
Title
Owner
Phone
(727) 741-5538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME87687 FL Primary

Addresses

Primary practice location

3190 N McMullen Booth Rd
Suite 201
Clearwater, FL 33761-2013

Mailing address

3009 Northfield Dr
Tarpon Springs, FL 34688-9124
Phone (727) 741-5538

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091102000456 FL Part B Supplier - Clinic/Group Practice 9436296985 Receives reassigned benefits from 3 practitioners
Practice locations: Safety Harbor, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1871723288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 NORTHFIELD DR",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346889124",
            "telephone_number": "727-741-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612013",
            "telephone_number": "727-741-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTA U BUTT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "ATTA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-741-5538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME87687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.