RENI S. BUTLER (M.D.) – Diagnostic Radiology Physician, NPI 1609876770

RENI S. BUTLER (M.D.) is a healthcare provider. based in Libertyville, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036096102 (IL). The NPI Number for RENI S. BUTLER (M.D.) is 1609876770

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
RENI S. BUTLER (M.D.)
NPI
1609876770
Phone
(847) 918-1462
Address
1800 HOLLISTER DR
Enumeration Date
29 July 2005
Last Update Date
2 September 2009

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2033843000
Graduation Year
1991 (35 years ago)
PAC ID
6709850910
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20090924000355
Address ID
CT066102805BR267XXSTXX300
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

2,121 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for RENI S. BUTLER (M.D.)

  • 1800, Hollister Drive, Libertyville, Lake, Illinois, 60048, United States

    SUITE G-18

    LIBERTYVILLE, IL 600485264

    Phone: (847) 918-1462

    Fax: (847) 968-4311

    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: 2009-09-24

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
I20090924000355IDiagnostic RadiologyCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography377377$0
77063Screening 3d breast mammography377377$0
76641Complete ultrasound scan of 1 breast144144$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)7575$0
76642Limited ultrasound scan of 1 breast4444$0
View full utilization report →

Insurance plans in this area (ZIP 60048)

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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: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

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Frequently asked questions

Where can patients find RENI S. BUTLER (M.D.)'s NPI?
You can confirm RENI S. BUTLER (M.D.) with NPI 1609876770; it appears in the national provider directory.
Is RENI S. BUTLER (M.D.) currently active in the NPI registry?
CMS-published data lists RENI S. BUTLER (M.D.) as an active registrant.
Can you summarize RENI S. BUTLER (M.D.)'s specialty in plain language?
Clinically, the directory lists RENI S. BUTLER (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for RENI S. BUTLER (M.D.)?
The page summarizes Libertyville, Illinois for RENI S. BUTLER (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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