NPIMap

Individual provider Active NPI

Tisha K Fujii, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • Golden, CO
National Provider Identifier
1720092596
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
CDRH.0041249 Issued in CO
Practice address
1707 Cole Blvd Ste 100
Golden, CO 80401-3219
Phone
(303) 763-4900
Fax
(303) 763-5495
NPI assigned
Jul 28, 2006
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X CDRH.0041249 CO Primary

Addresses

Primary practice location

1707 Cole Blvd Ste 100
Golden, CO 80401-3219

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (719) 463-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110725000663 CO Practitioner - HospitalistPractitioner - Internal Medicine 4880675339 Reassigns benefits to 3 organizations
I20111012000854 MT Practitioner - Critical Care (Intensivists) 4880675339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 557-4221

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince May 30, 2021 Accepting new patients
SCL Health Montana Current Accepting new patients
Poudre Valley Medical Group, LLC Pulmonary Disease CurrentSince Jun 1, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Dec 1, 2019 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince May 5, 2021 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Poudre Valley Medical Group, LLC Pulmonary Disease CurrentSince Jun 1, 2025 Accepting new patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince May 30, 2021 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Dec 1, 2019 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Dec 1, 2019 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Nov 18, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Dec 1, 2019 Accepting new patients
Optumcare Colorado Medical Group LLC Internal Medicine CurrentSince Nov 18, 2024 Accepting new patients
Arundel Physicians Associates, LLC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Baltimore Washington Medical Center Inc. Internal Medicine Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

1707 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 233-8295

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

2900 12th Ave N
Ste 100E
Billings, MT 59101
Phone (406) 237-5050

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

Interoperability endpoints

  • Direct secure messaging: tfujii130991@westdirect.optum.com

Organizations & group practices 19

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 19

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1720092596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "719-463-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 COLE BLVD STE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013219",
            "telephone_number": "303-763-4900",
            "fax_number": "303-763-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJII",
        "first_name": "TISHA",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "CDRH.0041249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.