MITUL BUTALA MD
NPI 1881986164
Family Medicine in Fairfax, VA
About Mitul Butala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITUL BUTALA MD (NPI 1881986164) is an individual family medicine provider in Fairfax, Virginia, licensed in Virginia (0101272781) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and maintains a secondary practice location in Williamsport.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mitul Butala Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mitul Butala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia enrollment
- 113 clinicians in this Medicare group
Vienna, VA 22180
- Reassigned Medicare billing, Virginia and District of Columbia enrollments
- Also billed through NPI 1669511051 (District of Columbia)
- 2,379 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Alexandria Hospital
Acute Care Hospitals · Alexandria, VAInova Fairfax Hospital
Acute Care Hospitals · Falls Church, VAInova Fair Oaks Hospital
Acute Care Hospitals · Fairfax, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
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 Mitul Butala's NPI number?
The NPI number for Mitul Butala is 1881986164. It was assigned to this individual provider in the NPPES registry on May 5, 2011.
Where is Mitul Butala located?
Mitul Butala practices at 3600 Joseph Siewick Dr, Fairfax, VA 22033. The listed phone number is (703) 391-3600.
What is Mitul Butala's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mitul Butala enrolled in Medicare?
Yes. Mitul Butala 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.
Which organizations bill Medicare for Mitul Butala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitul Butala reassigns Medicare benefits to 2 organizations: Fair Oaks Hospitalist Physicians, PLLC (Fairfax, VA) and Inova Health Care Services (Vienna, VA). 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 Mitul Butala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mitul Butala accept?
Health plans from Oscar Health list Mitul Butala 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.
Is Mitul Butala affiliated with any hospitals?
According to CMS data, Mitul Butala is affiliated with Inova Alexandria Hospital, Inova Fairfax Hospital and Inova Fair Oaks Hospital.
When was this NPI record last updated?
The NPPES record for Mitul Butala was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mitul Butala, MD · NPI 1881986164
Family Medicine physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since May 5, 2011.
## Identity
- **NPI:** 1881986164 (Entity type: Individual)
- **Enumerated:** May 5, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0101272781 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3600 JOSEPH SIEWICK DR, Fairfax, VA 22033-1709
- **Phone:** (703) 391-3600 · **Fax:** (703) 391-3414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fair Oaks Hospitalist Physicians, PLLC (NPI 1275601205, Fairfax, VA); Inova Health Care Services (NPI 1275886418, Vienna, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 19, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1881986164) · Data from the CMS NPPES public registry.