Physician Compare National (NPI:1326085861)

HEALTHCARE PROVIDER: NICK BUTTAR M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1326085861
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092844316
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100525000985
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BUTTAR
	Individual professional last name
Provider First Name	NICK
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1266 WALTON BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	PRO HEALTH URGENT CARE
	Group Practice or individual's line 2 address
City	ROCHESTER HILLS
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	483076900
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	231311
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DECKERVILLE COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y