Individual provider Active NPI

Tyson John Sjulin, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fort Sam Houston, TX
National Provider Identifier
1942461439
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
R8107 Issued in TX
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(918) 230-7095
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X R8107 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X R8107 TX Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (918) 230-7095

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
I20180809005863 TX Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0345495263 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo ICU LLCGroup PAC ID 7618324898, 27 clinicians
Gulf Coast Intensivists, PLLCGroup PAC ID 2264896364, 39 clinicians
Central Texas Intensivists PLLCGroup PAC ID 8921446345, 20 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo, TX 78041-5474
Phone (956) 796-4658

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 606-9111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8107TXMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ips LLC Critical Care Medicine CurrentSince Jul 1, 2018 Accepting new patients
Laredo ICU, LLC CurrentSince Dec 20, 2025 Accepting new patients
Southeast Texas Intensivists, PLLC Critical Care Medicine CurrentSince Mar 24, 2024 Accepting new patients
Cepamerica Texas PA Critical Care Medicine CurrentSince Dec 1, 2022 Accepting new patients
HCC of Laredo LLC CurrentSince Dec 20, 2025 Accepting new patients
Cepamerica Texas PA Critical Care Medicine CurrentSince Dec 1, 2022 Accepting new patients
Central Texas Intensivists, PLLC Critical Care Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

34910 Interstate 10 W
Ste 601
Boerne, TX 78006
Phone (830) 248-1207

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

4458 Medical Dr
Ste 505
San Antonio, TX 78229

4499 Medical Dr
Ste 150
San Antonio, TX 78229
Phone (210) 614-8181

4499 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 614-8181

1434 E Sonterra Blvd
Ste 210
San Antonio, TX 78258
Phone (210) 481-3119

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1942461439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "918-230-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "918-230-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJULIN",
        "first_name": "TYSON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "R8107",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "R8107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.