Kathleen Victoria Butler, MD
Individual provider Active NPI Pediatrics Physician · Georgetown, TX
NPI 1962490870 · NPPES record last updated Jun 27, 2025
Key facts
- NPI
- 1962490870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- L1537 (TX)
- Practice address
- 2423 Williams Dr Ste 107
Georgetown, TX 78628-3269 - Phone
- (877) 800-5722
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Owned or controlled facilities with NPI records 22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 25
| Facility | Type | Role | Since |
|---|---|---|---|
| Lone Star Circle of Care at Round Rock Health Clinic |
Federally qualified health center | W-2 Managing Employee | Jun 1, 2014 |
| Lone Star Circle of Care at Ben White Health Clinic |
Federally qualified health center | W-2 Managing Employee | Jun 1, 2014 |
| Lone Star Circle of Care at Lake Aire Medical Center |
Federally qualified health center | W-2 Managing Employee | Jun 1, 2014 |
| Lone Star Circle of Care at Texas a&M Health Science Center |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care at Hutto |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care at Harker Heights |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care at Georgetown Women'S Center |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care at Northwest Austin |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care |
Federally qualified health center | W-2 Managing Employee | Jun 1, 2014 |
| Lone Star Circle of Care at Stassney |
Federally qualified health center | W-2 Managing Employee | Jun 1, 2014 |
| Lone Star Circle of Care at Taylor |
Federally qualified health center | W-2 Managing Employee | Jun 1, 2014 |
| Lone Star Circle of Care at Collinfield |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care at Jonestown |
Federally qualified health center | W-2 Managing Employee | Jun 1, 2014 |
| Lone Star Circle of Care at El Buen Samaritano |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care at Cedar Park |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2019 |
| Lone Star Circle of Care at Gisd |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care OB/GYN at Mopac North |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care at Oak Springs |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care Pediatrics at Mopac North |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care Adult Medicine at St. John |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care at Georgetown Dental |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care at Collinfield |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
| Lone Star Circle of Care Pediatrics at St. John |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jun 1, 2014 Jun 1, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070717000421 | TX | Practitioner - Pediatric Medicine | 7214037456 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Circle of Care | Current |
Accepting new patients | |
| Lone Star Circle of Care | Pediatrics | Current | Accepting new patients |
| Lone Star Circle of Care | Current |
Accepting new patients | |
| Lone Star Circle of Care | Past | Accepting new patients |
Locations
1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249
205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207
701 E University Ave
Georgetown, TX 78626
Phone (512) 863-9208
2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207
2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908
123 Ed Schmidt Blvd
Ste 140
Hutto, TX 78634
Phone (806) 786-2795
Interoperability endpoints
- kathleen.butler.1@29821.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L1537 | TX | Yes |
Addresses
Primary practice location
2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Mailing address
2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119934 | Other | TX | SUPERIOR |
| 143093605 | Medicaid | TX | |
| 8X1635 | Other | TX | BLUE CROSS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kathleen.butler.p1@direct.lscctx.nextgenshare.com |
Other providers in Georgetown, TX
- Rebecca J Burgman
- Gregory N Burroughs
- Janie P. Bush
- Pedro Bustamante
- Cheryl Butler
- Mary Buzzell
- Kitara M Byerly
- Nancy Byun
- Onadia Cristobalina Cabrera-Mora
- Elizabeth Cabrera
All providers in Georgetown, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.