Tillman Farley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0035760 Issued in CO

Practice address

1115 2ND St
Fort Lupton, CO 80621-1745

Phone

(303) 857-2771

Fax

(720) 322-9434

NPI assigned

Dec 15, 2005

Last updated

Nov 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, MP2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

University of Colorado School of Medicine, Denver, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Healthcare CorporationGroup PAC ID 7719075167, 79 clinicians

Salud Family HealthGroup PAC ID 3173433398, shared by 15 NPIs, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Commonwealth Health Center Hospital, Garapan, MP, CCN 660001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO D-SNP

Interoperability endpoints

• Direct secure messaging: tillman.farley@sfhc.eclinicaldirectplus.com

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.

• Commonwealth Healthcare Corporation

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
  • NPI 1285858290
  Medicare reassignment Care Compare group NPD
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Fort Lupton, CO
  • NPI 1275530388
  Medicare reassignment NPD
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Aurora, CO
  • NPI 1134766553
  NPD
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Fort Morgan, CO
  • NPI 1740947407
  NPD
• Commonwealth Healthcare Corporation

  dba Tinian Health Center

  • Rural Health Clinic/Center
  • Tinian, MP
  • NPI 1003382854
  NPD
• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  NPD
• Salud Family Health

  dba Salud Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Fort Lupton, CO
  • NPI 1386777266
  NPD (past)
• Trinidad Area Health Association

  dba Mt. San Rafael Hospital Clinic

  • Family Medicine Physician
  • Trinidad, CO
  • NPI 1467400309
  NPD (past)

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

• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  Care Compare affiliation

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1013993682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ROLLIE AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211508",
            "telephone_number": "303-857-2771",
            "fax_number": "720-322-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 2ND ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211745",
            "telephone_number": "303-857-2771",
            "fax_number": "720-322-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "TILLMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0035760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01357607",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Dominguez, RPH
• Sarah Eggert
• Kalina Ehrenreich-Piot, D.O.
• Scott William Entrekin
• Annalise Catharine Everett
• Fort Lupton Dental Group P.C.
• Fort Lupton Vision Center PC
• Ft Lupton Medical Team PC
• Olga Laura Garcia-Cortez, RN
• Giselle Garcia, CMA

• Family Medicine Physician in Fort Lupton, CO
• Providers in Fort Lupton, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.

Verify at the official NPI Registry.