Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Demsie M Butler, MD

Individual provider Family Medicine Physician · NPI 1457098386

Demsie M Butler, MD is a Family Practice in Jerome, Idaho. Qualified in 2022, 4 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

132 5th Ave W Ste 1&2
Jerome, ID 83338-1871
Phone: (208) 814-9800
Fax: (208) 933-9648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 132 5th Ave W Ste 1, Jerome, ID 83338-1825 — (208) 814-9800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-17642 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MRM-2141 (ID)

Record details

NPI number1457098386
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2022
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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