COTY BUCHWALTER DO
NPI 1053006601
Student in an Organized Health Care Education/Training Program in Saint Joseph, MI
About Coty Buchwalter Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COTY BUCHWALTER DO (NPI 1053006601) is an individual student in an organized health care education/training program in Saint Joseph, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Valparaiso.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coty Buchwalter Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Coty Buchwalter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Coty Buchwalter's NPI number?
The NPI number for Coty Buchwalter is 1053006601. It was assigned to this individual provider in the NPPES registry on April 10, 2023.
Where is Coty Buchwalter located?
Coty Buchwalter practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 982-4941.
What is Coty Buchwalter's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Coty Buchwalter enrolled in Medicare?
Yes. Coty Buchwalter is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Coty Buchwalter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Coty Buchwalter reassigns Medicare benefits to Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Coty Buchwalter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Coty Buchwalter was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Coty Buchwalter, DO · NPI 1053006601
Student in an Organized Health Care Education/Training Program provider in Saint Joseph, Michigan. Individual provider, active in the CMS NPPES registry since April 10, 2023.
## Identity
- **NPI:** 1053006601 (Entity type: Individual)
- **Enumerated:** April 10, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1234 NAPIER AVE, Saint Joseph, MI 49085-2112
- **Phone:** (269) 982-4941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Professionals Of Indiana, P.C. (NPI 1013951219, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053006601) · Data from the CMS NPPES public registry.