Individual provider Active NPI

Daniel Tailleur, MD

  • Family Medicine Physician
  • La Jara, CO
National Provider Identifier
1215020797
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50386 Issued in CO
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

Updated by the provider on Oct 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11161OtherMTSTATE LIC NUMBER
50386OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, CO2 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

Enrollment IDStateProvider typePAC IDDetails
I20061109000267 MT Practitioner - Family Practice 9234136029 Reassigns benefits to 1 organization
I20111123000209 CO Practitioner - Family PracticePractitioner - Emergency Medicine 9234136029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley-Wide Health Systems, Inc.Group PAC ID 5991609067, 42 clinicians
Holy Rosary HealthcareGroup PAC ID 8921045667, shared by 5 NPIs, 49 clinicians

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 Hospice, Miles City, MT, CCN 271519
  • Holy Rosary Hospital Hospital, Miles City, MT, CCN 271347
  • San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50386COMDFamily Medicine Physician
11161MTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Rosary Healthcare CurrentSince Aug 1, 2006 Accepting new patients
Valley-Wide Health Systems, Inc. CurrentSince Jan 29, 2024 Accepting new patients
Valley-Wide Health Systems, Inc CurrentSince Jan 29, 2024 Accepting new patients
Holy Rosary Healthcare Family Medicine CurrentSince Aug 1, 2006 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Intermountain Health Holy Rosary HospitalMiles City, MT, CCN 275106 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.

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.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.