ELISSA KATHLEEN BUTLER MD, MPH
NPI 1699160242
Surgery - Pediatric Surgery in Minneapolis, MN

NPI Status: Active since March 31, 2015

Contact Information

2450 RIVERSIDE AVE
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 365-1000

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Surgery
Pediatric Surgery
Accepts Insurance
PECOS Enrolled

About ELISSA BUTLER

This page provides the complete NPI Profile along with additional information for Elissa Butler, a provider established in Minneapolis, Minnesota with a medical specialization in Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1699160242 assigned on March 2015. The practitioner's primary taxonomy code is 2086S0120X with license number 77646 (MN). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI: 1699160242
Provider Name: ELISSA KATHLEEN BUTLER MD, MPH
Gender: Female
Entity Type: Individual
Location Address: 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454
Location Phone: (612) 365-1000
Mailing Address: 319 15TH AVE SE MINNEAPOLIS, MN 55455
Mailing Phone: (800) 756-2363
Is Sole Proprietor?: No
Enumeration Date: 03-31-2015
Last Update Date: 08-09-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Surgery Pediatric Surgery
Taxonomy Code: 2086S0120X
Type: Allopathic & Osteopathic Physicians
License No.: 77646
License State: MN
Taxonomy Description: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

HealthPartners

Atlas $1,300 Gold - PPO
Atlas $2,000 Standard Gold - PPO
Atlas $3,050 Plus Silver - PPO
Atlas $3,800 HSA Silver - PPO
Atlas $6,000 Standard Silver - PPO
Atlas $6,800 Plus Bronze HSA - PPO
Atlas $7,500 Standard Bronze HSA - PPO
Atlas $8,400 HSA Bronze - PPO

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
Medica Individual Choice Bronze HSA - EPO
Medica Individual Choice Bronze Share - EPO
Medica Individual Choice Bronze Share - HMO
Medica Individual Choice Expanded Bronze Standard - EPO
Medica Individual Choice Expanded Bronze Standard - HMO
Medica Individual Choice Gold $0 Copay PCP Visits - EPO
Medica Individual Choice Gold $0 Copay PCP Visits - HMO
Medica Individual Choice Gold Share - EPO
Medica Individual Choice Gold Share - HMO
Medica Individual Choice Gold Standard - EPO
Medica Individual Choice Gold Standard - HMO
Medica Individual Choice Silver $0 Copay PCP Visits - EPO
Medica Individual Choice Silver $0 Copay PCP Visits - HMO
Medica Individual Choice Silver Share - EPO
Medica Individual Choice Silver Share - HMO
Medica Individual Choice Silver Standard - EPO
Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Elissa Butler is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699160242, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 2 + 6 + 0 + 2 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2

This NPI is valid

The calculated check digit is 2, which matches the last digit of 1699160242.