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MS. KELLEY ALEXIS BUTLER MD, MPH
NPI 1316527286
Family Medicine in San Ysidro, CA

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
4050 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2025, Jul 22, 2024, Apr 13, 2021 (3 updates tracked since 2021).

About Ms. Kelley Alexis Butler Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLEY ALEXIS BUTLER MD, MPH (NPI 1316527286) is an individual family medicine provider in San Ysidro, California, licensed in California (A192097) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Jolla, and is a graduate of University Of California, Irvine, California College Of Medicine (2021).

NPPES Registry Identity

NPI1316527286
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. KELLEY ALEXIS BUTLERCredential: MD, MPH
Location Address4050 BEYER BLVDSan Ysidro, CA 92173-2007
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 554-6158
Phone(619) 662-4100
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2021
Enumeration DateApril 13, 2021
Last NPPES UpdateJuly 30, 20253 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1316527286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A192097
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License A192097 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4050 BEYER BLVD, San Ysidro, CA 92173
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Secondary Practice Location 1

Location 110666 N Torrey Pines RdLA Jolla, CA 92037-1027 · Phone (858) 554-6158

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kelley Alexis Butler Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052782596
PECOS Enrollment IDI20250616001280
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REGINA MARIE JAVIER DMD
Dentist
4050 BEYER BLVD
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
CHANMEE PRAISE SEO MD
Family Medicine
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
DR. JONATHAN DANIEL MILLS DDS
Dentist (Pediatric Dentistry)
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
Clinic/Center (Federally Qualified Health Center (FQHC))
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
MIGUEL ALVAREZ-ESTRADA M.D., M.B.A.
Family Medicine
4050 BEYER BLVD
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
ANDRES ALONSO GOMEZ GARZA MD
Pediatrics
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
DIANA LUC
Dentist (Pediatric Dentistry)
4050 BEYER BLVD
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
ELISSA KIM SULLIVAN MD
Pediatrics
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Butler's NPI number?

The NPI number for Kelley Butler is 1316527286. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Kelley Butler located?

Kelley Butler practices at 4050 Beyer Blvd, San Ysidro, CA 92173. The listed phone number is (619) 662-4100.

What is Kelley Butler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelley Butler enrolled in Medicare?

Yes. Kelley Butler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelley Butler was last updated on July 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.