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MERIDIAN FAMILY MEDICINE
NPI 1710174800
Family Medicine in Meridian, ID

Active since October 02, 2007CLIA 13D1062113 · Microscopy
1525 E LEIGHFIELD DR, SUITE 150, MERIDIAN, ID 83646(208) 888-1199(208) 888-0807 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1710174800
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAVID J BUTUK MD PA
Location Address1525 E LEIGHFIELD DR, SUITE 150Meridian, ID 83646-5371
Mailing AddressPo Box 44440Boise, ID 83711-0440 · (208) 888-1199 · Fax (208) 888-0807
Phone(208) 888-1199
Fax(208) 888-0807
Organization SubpartNo
Authorized OfficialDavid J ButukOwner · (208) 888-1199
Enumeration DateOctober 2, 2007
✔ NPI 1710174800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1525 E LEIGHFIELD DR, Meridian, ID 83646
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Other Names 1

Doing Business AsMeridian Family Medicine

Other Identifiers 1

Medicare PIN1376021

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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, ID
Active · expires Dec 5, 2026
CLIA Number13D1062113
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorDavid J. Butuk
Laboratory Phone(208) 888-1199
Laboratory LocationMeridian Family Medicine1525 E Leigh Field Dr #150, Meridian, ID 83646
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

JENNIFER L NORDQUIST NP
Nurse Practitioner
1525 E LEIGHFIELD DR, STE 150
MERIDIAN, ID 83646
Ada County (208) 888-1199
DAVID BUTUK MD
Family Medicine
1525 E LEIGHFIELD DR, STE. 150
MERIDIAN, ID 83646
Ada County (208) 888-1199
MR. SCOTT TREVOR FRISBY PA-C
Physician Assistant (Medical)
1525 E LEIGHFIELD DR
MERIDIAN, ID 83646
Ada County (208) 888-1199

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 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.

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. 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 18 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.