Active NPI
Daniel Tailleur, MD
- Family Medicine Physician
- La Jara, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 50386
- Practice address
- 19021 US Highway 285
La Jara, CO 81140 - Phone
- (719) 274-6000
- Fax
- (719) 274-6038
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50386 | CO | Primary |
| General Practice Physician | 208D00000X | 11161 | MT |
Addresses
Primary practice location
19021 US Highway 285
La Jara, CO 81140
Mailing address
PO Box 639
La Jara, CO 81140-0639
Phone (719) 274-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11161 | Other | MT | STATE LIC NUMBER |
| 50386 | Other | CO | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Holy Rosary Healthcare
Practice addresses (Care Compare)
10 TH St and Dahlia
Antonito, CO 81120
Phone (719) 376-5426
1131 Main St
Alamosa, CO 81101-2446
Phone (719) 589-2562
2600 Wilson St
Miles City, MT 59301-5094
Phone (406) 233-2600
Hospital & facility affiliations
- Holy Rosary Hospice
- Holy Rosary Hospital
- San Luis Valley Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50386 | CO | MD | Family Medicine Physician |
| 11161 | MT | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Rosary Healthcare | Current | Accepting new patients | |
| Valley-Wide Health Systems, Inc. | Current | Accepting new patients | |
| Valley-Wide Health Systems, Inc | Current | Accepting new patients | |
| Holy Rosary Healthcare | Family Medicine | Current | Accepting new patients |
| Valley-Wide Health Systems, Inc. | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
128 Market St
Alamosa, CO 81101
Phone (719) 587-1001
1131 Main St
Alamosa, CO 81101
Phone (719) 589-2562
1012 Belmont Ave
La Junta, CO 81050
Phone (719) 383-5500
2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500
Interoperability endpoints
- daniel.tailleur.p1@direct.vwhs.nextgenshare.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Intermountain Health Holy Rosary Hospital | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 22, 2022 Jul 22, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Miles City, MT
- NPI 1124242797
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1790998953
-
- Clinic/Center
- Miles City, MT
- NPI 1225201825
-
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1205652047
-
- Community Based Hospice Care Agency
- Miles City, MT
- NPI 1396969812
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Canon City, CO
- NPI 1215383500
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
-
- Critical Access Hospital
- Miles City, MT
- NPI 1396074548
-
- Community Based Hospice Care Agency
- Miles City, MT
- NPI 1396969812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319241600000",
"number": "1215020797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639",
"city": "LA JARA",
"state": "CO",
"postal_code": "811400639",
"telephone_number": "719-274-6000",
"fax_number": "719-274-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19021 US HIGHWAY 285",
"city": "LA JARA",
"state": "CO",
"postal_code": "81140",
"telephone_number": "719-274-6000",
"fax_number": "719-274-6038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAILLEUR",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2011-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "50386",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MT",
"license": "11161",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC NUMBER",
"identifier": "11161",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "50386",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jara, CO
- San Luis Valley Community Mental Health Center
- San Luis Valley Community Mental Health Center
- San Luis Valley Community Mental Health Center, Inc.
- Brandin Cole Spady, DO
- David Charles Stuhr, PHARMACIST
- Lois Eileen Trenholm, D.C.
- Joseph T. Valdez, R.PH
- Valentine Center for Family Therapy
- Valentine Counseling Center PLLC
- Tamera Ann Valentine, MA, LMFTC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.