MS. KELLEY ALEXIS BUTLER MD, MPH
NPI 1316527286
Family Medicine in San Ysidro, CA
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 and maintains a secondary practice location in La Jolla.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kelley Alexis Butler Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kelley Butler reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 1,598 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 218 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 68 clinicians in this Medicare group
Rancho Cucamonga, CA 91730
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Heart Wellness Clinic Inc
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SAN YSIDRO, CA 92173
SAN YSIDRO, CA 92173
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 enrollment system.
Which organizations bill Medicare for Kelley Butler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Butler reassigns Medicare benefits to 4 organizations: Scripps Health (San Diego, CA), On Call Specialists Medical Group Of San Diego, Inc. (San Diego, CA), Scripps Mercy Physicians Cardiology Medical Corporation (San Diego, CA) and Total Care Family Clinic Inc (Rancho Cucamonga, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelley Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelley Butler was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Kelley Alexis Butler, MD, MPH · NPI 1316527286
Family Medicine physician in San Ysidro, California. Individual provider, active in the CMS NPPES registry since April 13, 2021.
## Identity
- **NPI:** 1316527286 (Entity type: Individual)
- **Enumerated:** April 13, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A192097 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4050 BEYER BLVD, San Ysidro, CA 92173-2007
- **Phone:** (619) 662-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Scripps Health (NPI 1881636108, San Diego, CA); On Call Specialists Medical Group Of San Diego, Inc. (NPI 1962175836, San Diego, CA); Scripps Mercy Physicians Cardiology Medical Corporation (NPI 1477644474, San Diego, CA); Total Care Family Clinic Inc (NPI 1962921981, Rancho Cucamonga, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316527286) · Data from the CMS NPPES public registry.