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DR. MADHURA NITIN BUTALA MD
NPI 1962657577
Pediatrics in Jacksonville, FL

Active since November 24, 2008PECOS Enrolled
13770 BEACH BLVD, #6, JACKSONVILLE, FL 32224(904) 242-4220(904) 242-4221 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Madhura Nitin Butala Md NPPES

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

DR. MADHURA NITIN BUTALA MD (NPI 1962657577) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME109013) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962657577
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MADHURA NITIN BUTALACredential: MD
Location Address13770 BEACH BLVD, #6Jacksonville, FL 32224-7205
Mailing Address13241 Bartram Park Blvd, #209Jacksonville, FL 32258-5212 · (904) 242-4220 · Fax (904) 242-4221
Phone(904) 242-4220
Fax(904) 242-4221
Sole ProprietorNo
Enumeration DateNovember 24, 2008
Last NPPES UpdateJanuary 23, 2015
✔ NPI 1962657577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME109013✔ Licensed in IL · 125050936
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
13770 BEACH BLVD, Jacksonville, FL 32224
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Other Names 1

Former Name (1)Dr. Madhura R Patwardhan Md

Other Identifiers 1

Medicaid013603100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Madhura Nitin Butala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%375 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
12%139 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%199 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
60%286 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
47%36 patients2/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%286 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%286 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
37%286 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 59% · 133 patients
Patients physicalActivity: 63% · 133 patients
100%132 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. GHASSAN J GHATA MD
Pediatrics
13770 BEACH BLVD, SUIT 6
JACKSONVILLE, FL 32224
Duval County (904) 330-0524
CAMILLE CHRISTINE GORDEN ARNP
Nurse Practitioner (Pediatrics)
13770 BEACH BLVD, SUITE # 6
JACKSONVILLE, FL 32224
Duval County (904) 242-4220

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 Madhura Butala's NPI number?

The NPI number for Madhura Butala is 1962657577. It was assigned to this individual provider in the NPPES registry on November 24, 2008. The provider is also known as Dr. Madhura R Patwardhan MD.

Where is Madhura Butala located?

Madhura Butala practices at 13770 Beach Blvd #6, Jacksonville, FL 32224. The listed phone number is (904) 242-4220.

What is Madhura Butala's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Madhura Butala enrolled in Medicare?

Yes. Madhura Butala is registered in the Medicare PECOS enrollment system.

What insurance does Madhura Butala accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Madhura 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.

When was this NPI record last updated?

The NPPES record for Madhura Butala was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.