ABDUL BUTMAN (MD) – Internal Medicine Physician, NPI 1912953472

ABDUL BUTMAN (MD) is a healthcare provider. based in Moraine, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35-063771 (OH). The NPI Number for ABDUL BUTMAN (MD) is 1912953472

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
ABDUL BUTMAN (MD)
NPI
1912953472
Phone
(937) 832-9322
Address
3170 KETTERING BLVD BLDG B3
Enumeration Date
26 May 2006
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372785854
Graduation Year
1984 (42 years ago)
PAC ID
9032251145
Group Practice PAC ID
5092608372
Professional Enrollment ID
I20100127000387
Address ID
OH454143957DA1530XRDXX301

Contacts

REST API
abutman1061@direct.premierhealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

7,199 INTERNAL MEDICINE in OH

Provider Addresses for ABDUL BUTMAN (MD)

  • 3170 KETTERING BLVD BLDG B3

    MORAINE, OH 454391924

    Phone: (937) 832-9322

    Type: Mailing

  • 9000 N MAIN ST STE 305

    ENGLEWOOD, OH 454151165

    Phone: (937) 832-9322

    Fax: (937) 836-4152

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $918.

Total Amount is formed as General ($918) + Research ($0) + Ownership ($0) = $918.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($497).

Total Amount

$918

General + Research + Ownership

Payments

13

Total payment records

General Amount

$918

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-01-27

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
I20100127000387IInternal MedicineOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes414241$0
99213Established patient office or other outpatient visit, 20-29 minutes393226$0
83036Hemoglobin a1c level211118$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit165165$0
G0444Annual depression screening, 5 to 15 minutes165165$0
View full utilization report →

Insurance plans in this area (ZIP 45439)

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Provider's Procedures

ABDUL BUTMAN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH81002Urinalysis, manual test1815
INTERNAL MEDICINEOH85610Blood test, clotting time9618

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: 5092608372View full group profile
NameSpecialtyState
Family PracticeOH
-OH
Family PracticeOH
Family PracticeOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Family PracticeOH
-OH

Reviews

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Frequently asked questions

Can I verify ABDUL BUTMAN (MD) with an NPI only?
You can start verification with NPI 1912953472 for ABDUL BUTMAN (MD), then check state licensing separately.
Is ABDUL BUTMAN (MD) listed as active for patients and plans?
The listing shows ABDUL BUTMAN (MD) as active in the NPI system.
What healthcare role does ABDUL BUTMAN (MD) hold?
Scheduling teams often label ABDUL BUTMAN (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ABDUL BUTMAN (MD) on a map?
Expect Moraine, Ohio as a primary anchor for ABDUL BUTMAN (MD) unless the record lists multiple sites.
Is the information about ABDUL BUTMAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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