Individual provider Active NPI

Abdul Butman, MD

  • Internal Medicine Physician
  • Englewood, OH
National Provider Identifier
1912953472
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-063771 Issued in OH
Practice address
9000 N Main St Ste 305
Englewood, OH 45415-1165
Phone
(937) 832-9322
Fax
(937) 836-4152
NPI assigned
May 26, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-063771 OH Primary

Addresses

Primary practice location

9000 N Main St Ste 305
Englewood, OH 45415-1165

Mailing address

3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 832-9322

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL abutman1061@direct.premierhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100127000387 OH Practitioner - Internal Medicine 9032251145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Family Care IncGroup PAC ID 5092608372, 58 clinicians

Practice addresses (Care Compare)

1530 Needmore Rd
Suite 200
Dayton, OH 45414-3957
Phone (937) 278-5854

9000 N Main St
Englewood, OH 45415-1165

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-063771OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Family Care Inc Internal Medicine CurrentSince Apr 1, 1996 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Samaritan Family Care Inc Internal Medicine Past Accepting new patients
Samaritan Family Care, Inc. Past Accepting new patients

Locations

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

3535 Salem Ave
Dayton, OH 45406
Phone (937) 276-8323

9000 N Main St
Ste 305
Englewood, OH 45415
Phone (513) 832-1095

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1912953472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-832-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST STE 305",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "454151165",
            "telephone_number": "937-832-9322",
            "fax_number": "937-836-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTMAN",
        "first_name": "ABDUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-063771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "abutman1061@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "9000 N Main St Ste 305",
            "city": "Englewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454151165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.