Active NPI
Paul H Buller, MD
- Family Medicine Physician
- Goshen, IN
National Provider Identifier
1750328043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01037930
- Practice address
- 1302 College Ave
Suite 1
Goshen, IN 46526-5113 - Phone
- (574) 534-4880
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01037930 | IN | Primary |
Addresses
Primary practice location
1302 College Ave
Suite 1
Goshen, IN 46526-5113
Mailing address
1302 College Ave
Suite 1
Goshen, IN 46526-5113
Phone (574) 534-4880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100113780B | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100724000020 | IN | Practitioner - Family Practice | 4385776491 |
Receives reassigned benefits from 1 practitioner Practice locations: Goshen, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Ohio, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1302 College Ave
Suite 1
Goshen, IN 46526-4939
1302 College Ave
Suite 1
Goshen, IN 46526-5113
Phone (574) 534-4880
Hospital & facility affiliations
- Elara Caring
- Goshen Home Care and Hospice
- Paradigm Health
- Community Hospital of Bremen Inc
- Goshen Hospital
- Greencroft Healthcare
- Majestic Care of Goshen
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul H Buller MD | Current | Accepting new patients |
Locations
1302 College Ave
Ste 1
Goshen, IN 46526
Phone (219) 534-4880
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JHFAAA/Endpoint/JHFAAA
- https://fhir4.healow.com/fhir/r4/JHFAAA
- paul.buller@dphb.eclinicaldirectplus.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- Goshen, IN
- NPI 1013714054
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Valparaiso, IN
- NPI 1013493493
-
- Community Based Hospice Care Agency
- Goshen, IN
- NPI 1235191032
Hospice
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1407289119
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1750328043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 COLLEGE AVE",
"address_2": "SUITE 1",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265113",
"telephone_number": "574-534-4880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 COLLEGE AVE",
"address_2": "SUITE 1",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265113",
"telephone_number": "574-534-4880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLER",
"first_name": "PAUL",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01037930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100113780B",
"state": "IN"
}
],
"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 Dec 11, 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.