Organization Active NPI

Paul H Buller MD

  • Skilled Nursing Facility
  • Goshen, IN
National Provider Identifier
1013714054
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PAUL H BULLER MD
Practice address
1302 College Ave Ste 1
Goshen, IN 46526-4939
Phone
(574) 534-4880
Fax
(574) 534-4868
NPI assigned
Feb 27, 2025
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul H Buller, MDNPI 1750328043
Title
Physician
Phone
(574) 534-4880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1302 College Ave Ste 1
Goshen, IN 46526-4939

Mailing address

1302 College Ave Ste 1
Goshen, IN 46526-4939
Phone (574) 534-4880

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0356684Paul H Buller MD1302 College Ave Ste 1, Goshen, IN 46526Provider-performed microscopyAug 7, 2026

National Provider Directory

National Provider Directory

Locations

1302 College Ave
Ste 1
Goshen, IN 46526
Phone (219) 534-4880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHFAAA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1013714054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 COLLEGE AVE STE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264939",
            "telephone_number": "574-534-4880",
            "fax_number": "574-534-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 COLLEGE AVE STE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264939",
            "telephone_number": "574-534-4880",
            "fax_number": "574-534-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL H BULLER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "BULLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "574-534-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.