Active NPI
Caitlyn Noel Suttles Buller, DO
- Internal Medicine Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102206415
- Practice address
- 2250 Ivy Rd Ste 200
Charlottesville, VA 22903-4977 - Phone
- (434) 654-4550
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 0102506415 | VA | |
| Internal Medicine Physician | 207R00000X | 0102206415 | VA | Primary |
Addresses
Primary practice location
2250 Ivy Rd Ste 200
Charlottesville, VA 22903-4977
Mailing address
2250 Ivy Rd Ste 200
Charlottesville, VA 22903-4977
Phone (434) 654-4550
Other practice location 1
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7580
Other practice location 2
3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
250 Merchant Walk SQ
Suite 1103
Charlottesville, VA 22902-6511
Phone (434) 328-4900
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7580
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102506415 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha Jefferson Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Martha Jefferson Hospital | Past | Accepting new patients |
Locations
2250 Ivy Rd
Ste 200
Charlottesville, VA 22903
Phone (434) 654-4550
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
Internal Medicine
-
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1700383734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 IVY RD STE 200",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034977",
"telephone_number": "434-654-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 IVY RD STE 200",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034977",
"telephone_number": "434-654-4550"
}
],
"practiceLocations": [
{
"address_1": "500 Martha Jefferson Dr",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229114668",
"country_code": "US",
"telephone_number": "434-654-7580",
"fax_number": "434-654-7582",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 S Main St",
"address_purpose": "LOCATION",
"city": "Blacksburg",
"state": "VA",
"postal_code": "240607017",
"country_code": "US",
"telephone_number": "540-951-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULLER",
"first_name": "CAITLYN",
"middle_name": "NOEL SUTTLES",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0102506415",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102206415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.
- 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.