MR. JOHN E BUTRUS (AA) – Anesthesiologist Assistant, NPI 1629741533

MR. JOHN E BUTRUS (AA) is a healthcare provider. based in Ballwin, Missouri. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA. The NPI Number for MR. JOHN E BUTRUS (AA) is 1629741533

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN E BUTRUS (AA)
NPI
1629741533
Phone
(636) 386-9224
Address
339 CONSORT DR
Enumeration Date
27 July 2021
Last Update Date
27 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2028656100
Graduation Year
2021 (5 years ago)
PAC ID
1153726948
Group Practice PAC ID
7719395888
Professional Enrollment ID
I20240724000849
Address ID
DC200600001WA2041XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

357 ANESTHESIOLOGY ASSISTANT in MO

Provider Addresses for MR. JOHN E BUTRUS (AA)

  • 339 CONSORT DR

    BALLWIN, MO 630114439

    Phone: (636) 386-9224

    Fax: (636) 386-7679

    Type: Mailing

  • 615 S NEW BALLAS RD

    SAINT LOUIS, MO 631418221

    Phone: (636) 386-9224

    Fax: (636) 386-7679

    Type: Location

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: 2024-07-24

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
I20240724000849IAnesthesiology AssistantDCTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2323$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
01402Anesthesia for procedure for total knee joint replacement1212$0
View full utilization report →

Insurance plans in this area (ZIP 63011)

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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: 7719395888View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YDC
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YDC
A N E S T H E S I O L O G YMD
Anesthesiology AssistantMO

Reviews

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Frequently asked questions

Does MR. JOHN E BUTRUS (AA) have a public NPI I can cite?
Public records show MR. JOHN E BUTRUS (AA) under NPI 1629741533.
Quick check: is MR. JOHN E BUTRUS (AA) active?
Public NPPES data shows MR. JOHN E BUTRUS (AA) with an active NPI status right now.
What does the directory say MR. JOHN E BUTRUS (AA) does?
Insurance directories may phrase it differently, but here MR. JOHN E BUTRUS (AA) maps to Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is MR. JOHN E BUTRUS (AA) tied to Ballwin, Missouri?
If you are local to Ballwin, Missouri, MR. JOHN E BUTRUS (AA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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