NPIMap

Individual provider Active NPI

Tysen Trujillo, M.D.

  • Anesthesiology Physician
  • Billings, MT
National Provider Identifier
1013362862
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
85265 Issued in MT
Practice address
2900 12TH Ave N Ste 205W
Billings, MT 59101-7520
Phone
(406) 254-0704
NPI assigned
Apr 29, 2016
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 85265 MT Primary

Addresses

Primary practice location

2900 12TH Ave N Ste 205W
Billings, MT 59101-7520

Mailing address

2900 12TH Ave N Ste 205W
Billings, MT 59101-7520
Phone (406) 254-0707

Other identifiers 1

IdentifierTypeStateIssuer
1013362862MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728002849 MT Practitioner - Anesthesiology 8820380546 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians
Gallatin Valley Anesthesia Associates PCGroup PAC ID 1456372523, 35 clinicians

Practice addresses (Care Compare)

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

925 Highland Blvd
Suite 1180
Bozeman, MT 59715-6905
Phone (406) 587-8631

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85265MTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners of Montana PC CurrentSince Sep 14, 2020 Accepting new patients
Billings Clinic Current Accepting new patients
Gallatin Valley Anesthesia Associates PC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Billings Clinic CurrentSince May 1, 2025 Accepting new patients
Granite Peak Anesthesiology Consultants Anesthesiology CurrentSince Jul 5, 2024 Accepting new patients
Billings Clinic CurrentSince May 1, 2025 Accepting new patients
Billings Clinic Past Accepting new patients
Intercity Radiology, PC PastSince Mar 1, 2022 Accepting new patients

Locations

Dept 0906
Denver, CO 80256

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

2900 12th Ave N
Ste 205W
Billings, MT 59101
Phone (406) 254-0707

1450 Ellis St
Ste 101
Bozeman, MT 59715
Phone (406) 414-5336

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 898-1200

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Ste 1180
Bozeman, MT 59715
Phone (406) 582-4963

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

Organizations & group practices 8

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1013362862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 205W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017520",
            "telephone_number": "406-254-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 205W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017520",
            "telephone_number": "406-254-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "TYSEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "85265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013362862",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.