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MICHAEL LAWRENCE BUTERA M.D. NPI 1104925205


NPI Information

NPI: 1104925205
Provider Name: MICHAEL LAWRENCE BUTERA, M.D.
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

Organization: EMERGENCY AND ACUTE CARE MEDICAL CORPORATION

PECOS Registration: Yes

CLIA Number: 05D0945047

Address:
6699 ALVARADO RD
SUITE 2308
SAN DIEGO, CA
ZIP 92120
Phone: (619) 462-9010
Get Directions

Michael Lawrence Butera, M.D. is an infectious disease internal medicine in San Diego, CA with 41 years of experience. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. Michael Lawrence Butera, M.D. NPI is 1104925205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

6699 ALVARADO RD
SUITE 2308
SAN DIEGO, CA
ZIP 92120-241
Phone: (619) 462-9010
Fax: (619) 287-9058

The NPI 1104925205 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0945047 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)

The enumeration date for this NPI number is 9/22/2006 and was last updated on 11/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseG70238CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G70238MEDICARE PIN
2WG70238COTHERMEDICARE PTAN
3D29056MEDICARE UPIN
400G702380MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.