NPIMap

Individual provider Active NPI

Richard Montero Butlig, MD

  • Internal Medicine Physician
  • Torrance, CA
National Provider Identifier
1912968447
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A77702 Issued in CA
Practice address
1727 Crenshaw Blvd
Torrance, CA 90501
Phone
(310) 373-7855
Fax
(424) 704-2493
NPI assigned
Apr 1, 2006
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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 A77702 CA Primary

Addresses

Primary practice location

1727 Crenshaw Blvd
Torrance, CA 90501

Mailing address

1727 Crenshaw Blvd
Torrance, CA 90501
Phone (310) 373-7855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922001258 CA Practitioner - Internal Medicine 9638147093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richard M Butlig M D IncGroup PAC ID 1254472525, 8 clinicians

Practice addresses (Care Compare)

1727 Crenshaw Blvd
Torrance, CA 90501-3312
Phone (310) 373-7855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77702CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concert Health Care Inc Internal Medicine CurrentSince Feb 20, 2014 Accepting new patients
Torrance Memorial Medical Center Current Accepting new patients
Arnold G Roxas DPM Inc Past Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

1000 E Dominguez St
Ste 110
Carson, CA 90746
Phone (310) 715-7755

1727 Crenshaw Blvd
Torrance, CA 90501
Phone (310) 373-7855

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: drrmbutl@direct.tmmc.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Driftwood Healthcare CenterTorrance, CA, CCN 555114 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2024
Aug 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 12

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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1912968447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90501",
            "telephone_number": "310-373-7855",
            "fax_number": "424-704-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90501",
            "telephone_number": "310-373-7855",
            "fax_number": "424-704-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLIG",
        "first_name": "RICHARD",
        "middle_name": "MONTERO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A77702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.