Individual provider Active NPI

Jorge Daniel Trujillo, M.D.

  • Emergency Medicine Physician
  • Tyler, TX
National Provider Identifier
1710919618
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H2849 Issued in TX
Practice address
800 E Dawson St
Tyler, TX 75701-2036
Phone
(903) 606-4262
NPI assigned
Jul 7, 2006
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H2849 TX Primary

Addresses

Primary practice location

800 E Dawson St
Tyler, TX 75701-2036

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 606-6400

Other practice location 1

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-5768

Other practice location 2

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

Other practice location 3

8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (903) 606-6500

Other practice location 4

3203 S Main St
Lindale, TX 75771-7727
Phone (903) 266-4000

Other practice location 5

719 W Coke Rd
Winnsboro, TX 75494-3011
Phone (903) 342-5227

Other practice location 6

3207 Bammel Ln
Houston, TX 77098-2026
Phone (713) 529-8742

Other practice location 7

18780 Interstate 20
Canton, TX 75103
Phone (903) 567-4841

Other practice location 8

1509 S Palestine St
Athens, TX 75751-8950
Phone (903) 606-4262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070912000447 TX Practitioner - Emergency Medicine 7618860230 Reassigns benefits to 9 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2849TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 22, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 1, 2023 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jun 18, 2007 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Jun 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 20, 2020 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 1, 2023 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Jun 1, 2023 Accepting new patients
Memorial Southeast Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Emergency Medicine Past Accepting new patients
Methodist Health Centers PastSince Mar 1, 2020 Accepting new patients
Memorial Southwest Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Leading Edge Emergency Physicians, Inc Emergency Medicine Past Accepting new patients
Memorial City Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations (25 of 30)

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

1509 State Highway 19 S
Athens, TX 75751
Phone (903) 606-4262

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2906 Broadway St
Pearland, TX 77581
Phone (713) 431-0575

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1036 N Circle Dr
Ste 102
Sealy, TX 77474
Phone (346) 387-9340

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7671

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1710919618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-606-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012036",
            "telephone_number": "903-606-4262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2026 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757665822",
            "country_code": "US",
            "telephone_number": "903-586-5768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822105",
            "country_code": "US",
            "telephone_number": "903-885-7671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8389 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757035408",
            "country_code": "US",
            "telephone_number": "903-606-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3203 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lindale",
            "state": "TX",
            "postal_code": "757717727",
            "country_code": "US",
            "telephone_number": "903-266-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 W Coke Rd",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "TX",
            "postal_code": "754943011",
            "country_code": "US",
            "telephone_number": "903-342-5227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3207 Bammel Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770982026",
            "country_code": "US",
            "telephone_number": "713-529-8742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18780 Interstate 20",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "TX",
            "postal_code": "75103",
            "country_code": "US",
            "telephone_number": "903-567-4841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 S Palestine St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757518950",
            "country_code": "US",
            "telephone_number": "903-606-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "JORGE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H2849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.