BUELLTERRA INC
NPI 1831061472
Nurse Practitioner - Family in Buellton, CA

Active since September 23, 2025
195 W HIGHWAY 246, BUELLTON, CA 93427(805) 686-8555(805) 686-8556 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Buellterra Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUELLTERRA INC (NPI 1831061472) is a healthcare organization registered as a family in Buellton, California and active in the NPI registry since September 2025. The organization lists Sanjay Gundu, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1831061472
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBUELLTERRA INC
Location Address195 W HIGHWAY 246Buellton, CA 93427-9459
Mailing Address195 W Highway 246Buellton, CA 93427-9459 · (805) 686-8555 · Fax (805) 686-8556
Fax(805) 686-8556
Organization SubpartNo
Authorized OfficialSanjay GunduOffice Manager · (805) 686-8555
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1831061472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
195 W HIGHWAY 246, Buellton, CA 93427

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Buellterra Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Buellterra Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1386454205
480 CORNELL PL
Ventura, CA 93003
(315) 742-2079
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1285150797
3100 S SHERIDAN BLVD
Denver, CO 80227
(303) 742-3179
✔ PECOS✔ Accepts Medicare904 mi
Internal Medicine
NPI 1376920264
20330 N DEER PARK BLVD STE 130
Deer Park, IL 60010
(312) 625-1889
✔ PECOS1,809 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Buellterra Inc's NPI number?

The NPI number for Buellterra Inc is 1831061472. It was assigned to this organization in the NPPES registry on September 23, 2025.

Where is Buellterra Inc located?

Buellterra Inc is located at 195 W Highway 246, Buellton, CA 93427. The listed phone number is (805) 686-8555.

What is Buellterra Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Buellterra Inc enrolled in Medicare?

Yes. Buellterra Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Buellterra Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Buellterra Inc, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Buellterra Inc was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.