Active NPI
Josiah B Tilton IV, M.D.
- Anesthesiology Physician
- Midland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- K6364
- Practice address
- 2706 W Cuthbert Ave
Building B, Ste 100
Midland, TX 79701-3885 - Phone
- (432) 699-0306
- Fax
- (432) 520-2181
- NPI assigned
- Sep 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K6364 | TX | Primary |
Addresses
Primary practice location
2706 W Cuthbert Ave
Building B, Ste 100
Midland, TX 79701-3885
Mailing address
PO Box 4157
Midland, TX 79704-4157
Phone (432) 699-0306
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070924000482 | TX | Practitioner - Anesthesiology | 4082707252 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wayne State University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Medical Group of the Permian Basin, LLP
Practice addresses (Care Compare)
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-1111
5609 Deauville
Midland, TX 79706-2870
Phone (432) 699-4224
Hospital & facility affiliations
- Midland Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6364 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Group of the Permian Basin, LLP | Anesthesiology | Current | Accepting new patients |
Locations
2706 W Cuthbert Ave
Ste B100
Midland, TX 79701
Phone (432) 520-0291
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850
2200 W Illinois Ave
Midland, TX 79701
Phone (432) 685-1558
5609 Deauville
Midland, TX 79706
Phone (432) 697-3629
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Midland, TX
- NPI 1669596672
Anesthesiology, TX
Hospital & facility affiliations 1
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": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851490957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4157",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797044157",
"telephone_number": "432-699-0306",
"fax_number": "432-520-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 W CUTHBERT AVE",
"address_2": "BUILDING B, STE 100",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797013885",
"telephone_number": "432-699-0306",
"fax_number": "432-520-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILTON",
"first_name": "JOSIAH",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K6364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.