Neal C Buddensiek – Internal Medicine Physician

Key facts

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Suite Living Hospice Care, LLC Community Based Hospice Care Agency · White Bear Lake, MN · NPI 1942952171

CMS ownership CONTRACTED MANAGING EMPLOYEE

Medicare fee-for-service enrollment: Enrolled in MN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facility	Type	Role	Since
Suite Living Hospice Care, LLC White Bear Lake, MN · CCN 241615	Hospice	Contracted Managing Employee	Feb 3, 2025

Enrollment ID	State	Provider type	PAC ID	Details
I20250429002317	MN	Practitioner - Internal Medicine	5294734422	Practice locations: Mahtomedi, MN

License	State	Type	Specialty
46680	MN	MD	Internal Medicine Physician
15036	ND	MD	Internal Medicine Physician

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician	207R00000X	46680	MN	Yes
Internal Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207R00000X	15036	ND

1824 Buerkle Rd
White Bear Lake, MN 55110-5245

1915 Highway 36 W
Roseville, MN 55113-2709
Phone (651) 295-8844

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.