KOBY J BUTH MD
NPI 1992492292
Family Medicine in Fremont, MI
About Koby J Buth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOBY J BUTH MD (NPI 1992492292) is an individual family medicine provider in Fremont, Michigan, licensed in Michigan (4351050718) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Western Michigan Un Homer Stryker School Of Med (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Koby J Buth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Koby Buth's NPI number?
The NPI number for Koby Buth is 1992492292. It was assigned to this individual provider in the NPPES registry on April 18, 2023.
Where is Koby Buth located?
Koby Buth practices at 230 W Oak St, Fremont, MI 49412. The listed phone number is (231) 924-4200.
What is Koby Buth's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Koby Buth enrolled in Medicare?
Yes. Koby Buth is registered in the Medicare PECOS enrollment system.
Is Koby Buth affiliated with any hospitals?
According to CMS data, Koby Buth is affiliated with Mercy Health Saint Mary's.
When was this NPI record last updated?
The NPPES record for Koby Buth was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Koby J Buth, MD · NPI 1992492292
Family Medicine physician in Fremont, Michigan. Individual provider, active in the CMS NPPES registry since April 18, 2023.
## Identity
- **NPI:** 1992492292 (Entity type: Individual)
- **Enumerated:** April 18, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4351050718 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 230 W OAK ST, Fremont, MI 49412-1526
- **Phone:** (231) 924-4200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Western Michigan Un Homer Stryker School Of Med, class of 2023
## Record status
- **NPPES last updated:** August 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1992492292) · Data from the CMS NPPES public registry.