KYMBERLY N BUTLER (M.D.) – Family Medicine Physician, NPI 1124057591

KYMBERLY N BUTLER (M.D.) is a healthcare provider. based in Houston, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. K8881 (TX). The NPI Number for KYMBERLY N BUTLER (M.D.) is 1124057591

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KYMBERLY N BUTLER (M.D.)
NPI
1124057591
Phone
(832) 962-4111
Address
4405 Griggs Rd
Enumeration Date
30 June 2006
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
28182414801594
Graduation Year
1997 (29 years ago)
PAC ID
5597768598
Group Practice PAC ID
6204977127
Professional Enrollment ID
I20060811000365
Address ID
TX775112718AL1111XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for KYMBERLY N BUTLER (M.D.)

  • 4405 Griggs Rd

    Houston, TX 770212815

    Phone: (832) 962-4111

    Fax: (346) 335-8902

    Type: Location

  • 4005 Technology Rd

    Angleton, TX 775152556

    Phone: (281) 824-1480

    Fax: (281) 220-6407

    Type: Location

  • 1612 CALLAWAY DR

    ALVIN, TX 775113743

    Phone: (281) 824-1480

    Fax: (281) 220-6407

    Type: Mailing

  • 1111 W ADOUE ST

    ALVIN, TX 775112718

    Phone: (281) 824-1480

    Fax: (281) 220-6407

    Type: Location

  • 6431, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    308S JJL

    HOUSTON, TX 770301501

    Phone: (713) 500-7620

    Fax: (713) 500-7619

    Type: Mailing

  • 4405, Griggs Road, MacGregor, Houston, Harris County, Texas, 77021, United States

    HOUSTON, TX 770212815

    Phone: (832) 962-4111

    Fax: (346) 335-8902

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Exact Sciences Corporation ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

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: 2006-08-11

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
I20060811000365IFamily PracticeTXTBD

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 77021)

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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: 6204977127View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What NPI should I save for KYMBERLY N BUTLER (M.D.)?
Save NPI 1124057591 if you need a stable reference for KYMBERLY N BUTLER (M.D.).
Is KYMBERLY N BUTLER (M.D.) currently active in the NPI registry?
CMS-published data lists KYMBERLY N BUTLER (M.D.) as an active registrant.
What field does KYMBERLY N BUTLER (M.D.) work in?
You can think of KYMBERLY N BUTLER (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for KYMBERLY N BUTLER (M.D.)?
We surface Houston, Texas for KYMBERLY N BUTLER (M.D.) based on available NPPES addresses.
Is KYMBERLY N BUTLER (M.D.) a real provider?
This page reflects official NPPES data for NPI 1124057591. Always confirm identity and privileges with the practice and licensing boards.

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