MERIDIAN FAMILY MEDICINE
NPI 1710174800
Family Medicine in Meridian, ID
About Meridian Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERIDIAN FAMILY MEDICINE (NPI 1710174800) is a healthcare organization registered as a family medicine in Meridian, Idaho and active in the NPI registry since October 2007. The organization holds a CLIA Microscopy certificate valid through December 5, 2026 and lists David J Butuk, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Meridian Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Meridian Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D1062113
Meridian Family Medicine · Meridian, IDFrequently 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 David J Butuk MD PA's NPI number?
The NPI number for David J Butuk MD PA is 1710174800. It was assigned to this organization in the NPPES registry on October 2, 2007. The provider is doing business as Meridian Family Medicine.
Where is David J Butuk MD PA located?
David J Butuk MD PA is located at 1525 E Leighfield Dr Suite 150, Meridian, ID 83646. The listed phone number is (208) 888-1199.
What is David J Butuk MD PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David J Butuk MD PA enrolled in Medicare?
Yes. David J Butuk MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through David J Butuk MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to David J Butuk MD PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does David J Butuk MD PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D1062113) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does David J Butuk MD PA accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare list David J Butuk MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for David J Butuk MD PA was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Meridian Family Medicine · NPI 1710174800
Family Medicine organization in Meridian, Idaho. Organization record, active in the CMS NPPES registry since October 2, 2007.
## Identity
- **NPI:** 1710174800 (Entity type: Organization)
- **Enumerated:** October 2, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** David J Butuk Md Pa
- **Organization subpart:** No
- **Authorized official:** David Butuk, OWNER
## Practice location
- **Address:** 1525 E LEIGHFIELD DR, SUITE 150, Meridian, ID 83646-5371
- **Phone:** (208) 888-1199 · **Fax:** (208) 888-0807
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2007
- **Other identifiers:** Medicare PIN 1376021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710174800) · Data from the CMS NPPES public registry.