Individual provider Active NPI

Allen Helms Butler, M.D.

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1972570950
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14725 Issued in AL
Practice address
401 Lowell Dr SE
Suite3
Huntsville, AL 35801-3748
Phone
(256) 265-7940
Fax
(256) 265-7939
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14725 AL Primary

Addresses

Primary practice location

401 Lowell Dr SE
Suite3
Huntsville, AL 35801-3748

Mailing address

401 Lowell Dr SE
Suite3
Huntsville, AL 35801-3748
Phone (256) 265-7940

Other identifiers 2

IdentifierTypeStateIssuer
0004282311OtherAETNA
510-87884OtherALBCBS OF AL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allen.butler.1@12138.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100818000062 AL Practitioner - Family Practice 0042344699 Practice locations: Huntsville, AL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14725ALMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: allen.butler.1@12138.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1972570950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LOWELL DR SE",
            "address_2": "SUITE3",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013748",
            "telephone_number": "256-265-7940",
            "fax_number": "256-265-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LOWELL DR SE",
            "address_2": "SUITE3",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013748",
            "telephone_number": "256-265-7940",
            "fax_number": "256-265-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ALLEN",
        "middle_name": "HELMS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "14725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004282311",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "510-87884",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allen.butler.1@12138.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "401 Lowell Dr SE",
            "address_2": "Suite3",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358013748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.