David Butuk, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M8859 Issued in ID

Practice address

1525 E Leighfield Dr
Ste. 150
Meridian, ID 83646-5371

Phone

(208) 888-1199

Fax

(208) 888-0807

NPI assigned

May 11, 2006

Last updated

Feb 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Family Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David J Butuk MD PAGroup PAC ID 5698669422, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• David J Butuk MD PA

  dba Meridian Family Medicine

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1710174800
  Medicare reassignment Care Compare group Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1942250972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E LEIGHFIELD DR",
            "address_2": "STE. 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465371",
            "telephone_number": "208-888-1199",
            "fax_number": "208-888-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E LEIGHFIELD DR",
            "address_2": "STE. 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465371",
            "telephone_number": "208-888-1199",
            "fax_number": "208-888-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTUK",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M8859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britain Butler
• Melissa Erin Butler
• Benjamin Rodney Buttars, DO
• Samuel Kent Buttars, FNP
• Casey Scott Butterfield, DDS
• Emily Rose Buyer, DPT
• BVB Anesthesia Inc
• Shawna Lee Byington, PHARM.D.
• C-Pro Medical Alert
• Lane Nathan Cable, D.C.

• Family Medicine Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.

Verify at the official NPI Registry.