DR. ALBERTO BUTALID (MD) – Internal Medicine Physician, NPI 1023070752

DR. ALBERTO BUTALID (MD) is a healthcare provider. based in Carlyle, Illinois. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 036070872 (IL). The NPI Number for DR. ALBERTO BUTALID (MD) is 1023070752

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALBERTO BUTALID (MD)
NPI
1023070752
Phone
(618) 594-8924
Address
14505 STATE ROUTE 127
Enumeration Date
6 April 2006
Last Update Date
9 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185267271
Graduation Year
1979 (47 years ago)
PAC ID
9739112327
Group Practice PAC ID
9638064892
Professional Enrollment ID
I20050914000693
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ALBERTO BUTALID (MD)

  • 14505, IL 127, Carlyle, Clinton County, Illinois, 62231, United States

    CARLYLE, IL 622316485

    Phone: (618) 594-8924

    Fax: (618) 594-7918

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050914000693IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62231)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638064892View full group profile
NameSpecialtyState
-MO
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
Internal Medicine, Cardiac ElectrophysiologyMO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is there an official ID for DR. ALBERTO BUTALID (MD) in U.S. healthcare records?
The official identifier for DR. ALBERTO BUTALID (MD) is NPI 1023070752.
Is there an active status for DR. ALBERTO BUTALID (MD)?
For scheduling context, DR. ALBERTO BUTALID (MD) is shown as active in the registry.
What expertise is attributed to DR. ALBERTO BUTALID (MD)?
DR. ALBERTO BUTALID (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. ALBERTO BUTALID (MD) registered?
Use Carlyle, Illinois as the headline location for DR. ALBERTO BUTALID (MD) here.
When was this NPI issued?
Enumeration for DR. ALBERTO BUTALID (MD) is noted as April 6, 2006 where the registry provides it.

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