Gustavo Buentello, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

E1821 Issued in TX

Practice address

801 E Nolana Ave
Ste 17
McAllen, TX 78504-6104

Phone

(956) 630-1616

Fax

(956) 630-4733

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gustavo Buentello MD F. a. a. P., PA

  dba Buentello Medical and Wellness Center

  • General Practice Physician
  • McAllen, TX
  • NPI 1497089031
  Medicare reassignment
• Chiropractic Neurology Institute TX

  dba Nit-RGV

  • Chiropractor
  • McAllen, TX
  • NPI 1962606830
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1508951682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3271",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023271",
            "telephone_number": "956-630-1616",
            "fax_number": "956-630-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE",
            "address_2": "STE 17",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046104",
            "telephone_number": "956-630-1616",
            "fax_number": "956-630-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENTELLO",
        "first_name": "GUSTAVO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E1821",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "E1821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "115280",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133209009",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "1332090-01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B4610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirk Douglas Bryan, RN
• Buckeye Diagnostic Services LLC
• Buena Vista Optical Inc
• Buena Voluntad Home Care, LLC
• Buena Voluntad Home Care, LLC
• Lisa Buentello
• Luis D Buentello, DC
• Mireya Aidee Buentello, LMSW
• Quoc Bui, MD
• Building Bloks Pediatric Rehab LTD (ABC Pediatric Rehabilitation and Autism Development Center)

• General Practice Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.