Individual provider Active NPI

Luis Aaron Trillo, M.D.

  • Family Medicine Physician
  • Goshen, IN
National Provider Identifier
1467053116
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01100100A Issued in IN
Practice address
2016 S Main St
Goshen, IN 46526-5220
Phone
(574) 533-7600
Fax
(574) 533-7666
NPI assigned
Nov 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01100100A IN Primary

Addresses

Primary practice location

2016 S Main St
Goshen, IN 46526-5220

Mailing address

2016 S Main St
Goshen, IN 46526-5220
Phone (574) 533-7600

Other identifiers 1

IdentifierTypeStateIssuer
300132692MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260616002774 IN Practitioner - Family Practice 5193183218

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 High Park Ave
Goshen, IN 46526-4899

2182 35TH Ave CT
Apt 2
Greeley, CO 80634-3910

PO Box
Suite 834
Goshen, IN 46527

Hospital & facility affiliations

  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001

National Provider Directory

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

Hospital & facility affiliations 12

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": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1467053116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 S MAIN ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265220",
            "telephone_number": "574-533-7600",
            "fax_number": "574-533-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S MAIN ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265220",
            "telephone_number": "574-533-7600",
            "fax_number": "574-533-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRILLO",
        "first_name": "LUIS",
        "middle_name": "AARON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-07",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01100100A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300132692",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.