Active NPI
Richard David Trifilo, M.D
- Family Medicine Physician
- Abilene, TX
National Provider Identifier
1912973165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-098781
- Practice address
- 3449 N 10TH St
Abilene, TX 79603-4640 - Phone
- (325) 437-8620
- Fax
- (325) 437-8695
- NPI assigned
- Feb 27, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | GFE52434 | CA | |
| Aerospace Medicine Physician | 2083A0100X | 036-098781 | IL | |
| Occupational Medicine Physician | 2083X0100X | 036-098781 | IL | |
| Family Medicine Physician | 207Q00000X | 036-098781 | IL | Primary |
Addresses
Primary practice location
3449 N 10TH St
Abilene, TX 79603-4640
Mailing address
PO Box 5409
Abilene, TX 79608-5409
Phone (325) 437-8620
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135316101 | Other | TX | FIRSTCARE/ADC |
| 7277870 | Other | TX | AETNA |
| P00337438 | Other | TX | MEDICARE RR |
| 187706001 | Other | TX | MEDICAID/ADC |
| 8X7153 | Other | TX | BCBS/ADC |
| 8M3001 | Other | TX | BCBS |
| CR1046 | Other | TX | MCR RXR |
| 135316100 | Other | TX | FIRSTCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GFE52434 | CA | MD | Family Medicine Physician |
| 036-098781 | IL | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients |
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.
-
- Pathology Specialist/Technologist
- Abilene, TX
- NPI 1760482665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1912973165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5409",
"city": "ABILENE",
"state": "TX",
"postal_code": "796085409",
"telephone_number": "325-437-8620",
"fax_number": "325-437-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3449 N 10TH ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796034640",
"telephone_number": "325-437-8620",
"fax_number": "325-437-8695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIFILO",
"first_name": "RICHARD",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "GFE52434",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "IL",
"license": "036-098781",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "IL",
"license": "036-098781",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-098781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE/ADC",
"identifier": "135316101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7277870",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00337438",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID/ADC",
"identifier": "187706001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/ADC",
"identifier": "8X7153",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8M3001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR RXR",
"identifier": "CR1046",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "135316100",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.