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JULIO ANDRES PIEDRA BUTINA M.D.
NPI 1922637719
Internal Medicine in Providence, RI

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
593 EDDY ST, PROVIDENCE, RI 02903(401) 793-2695 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, Apr 3, 2020 (2 updates tracked since 2020).

About Julio Andres Piedra Butina M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIO ANDRES PIEDRA BUTINA M.D. (NPI 1922637719) is an individual internal medicine provider in Providence, Rhode Island, licensed in New Jersey (25MA11787400) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Saint Peter's University Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922637719
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJULIO ANDRES PIEDRA BUTINACredential: M.D.
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address6307 Harpers XingLanghorne, PA 19047-4517 · (240) 364-4734
Phone(401) 793-2695
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 3, 2020
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1922637719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA11787400
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
593 EDDY ST, Providence, RI 02903
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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

Julio Andres Piedra Butina M.d. 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.

PECOS PAC ID5991145534
PECOS Enrollment IDI20240430003808
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Julio Piedra Butina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Peter's University Hospital
183 mi
Clinical
254 EASTON AVE, MANAGED CARE
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Saint Peters University Hospital
  • 325 clinicians in this Medicare group
NPI 1376079590 (732) 565-5453
Signify Health Medical Associates Of New Jersey, LLC
188 mi
General Practice
116 VILLAGE BLVD STE 200
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • 421 clinicians in this Medicare group
NPI 1174187728 (877) 868-5351

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
79 services45 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695
FANNY HUANG MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4741

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 Julio Piedra Butina's NPI number?

The NPI number for Julio Piedra Butina is 1922637719. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Julio Piedra Butina located?

Julio Piedra Butina practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 793-2695.

What is Julio Piedra Butina's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Julio Piedra Butina enrolled in Medicare?

Yes. Julio Piedra Butina 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 Julio Piedra Butina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julio Piedra Butina reassigns Medicare benefits to 2 organizations: Saint Peter's University Hospital (New Brunswick, NJ) and Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ). 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 Julio Piedra Butina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Julio Piedra Butina affiliated with any hospitals?

According to CMS data, Julio Piedra Butina is affiliated with Saint Peter's University Hospital.

When was this NPI record last updated?

The NPPES record for Julio Piedra Butina was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.