DANIEL TAILLEUR (MD) – Family Medicine Physician, NPI 1215020797

DANIEL TAILLEUR (MD) is a healthcare provider. based in La jara, Colorado. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 50386 (CO). The NPI Number for DANIEL TAILLEUR (MD) is 1215020797

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL TAILLEUR (MD)
NPI
1215020797
Phone
(719) 274-6000
Address
19021 US HIGHWAY 285
Enumeration Date
2 October 2006
Last Update Date
22 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
9234136029
Group Practice PAC ID
8921045667
Professional Enrollment ID
I20111123000209
Address ID
MT593015094Mi2600XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,190 EMERGENCY MEDICINE in CO

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Provider Addresses for DANIEL TAILLEUR (MD)

  • La Jara Fish Hatchery, US 285;CO 17, Conejos County, Colorado, 81140, United States

    LA JARA, CO 81140

    Phone: (719) 274-6000

    Fax: (719) 274-6038

    Type: Location

  • PO BOX 639

    LA JARA, CO 811400639

    Phone: (719) 274-6000

    Fax: (719) 274-6038

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061109000267IFamily PracticeMTTBD
I20111123000209IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81140)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921045667View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Nurse PractitionerMT
Radiation OncologyOH
General SurgeryCT
Emergency MedicineMT
-NC
Family PracticeMT
-MT

Reviews

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Frequently asked questions

Can I cross-check DANIEL TAILLEUR (MD) using NPI 1215020797?
NPI 1215020797 belongs to DANIEL TAILLEUR (MD); compare other details if you need extra assurance.
Is DANIEL TAILLEUR (MD) shown as active in public data?
Registry records indicate DANIEL TAILLEUR (MD) maintains an active NPI.
What clinical focus is listed for DANIEL TAILLEUR (MD)?
At a glance, DANIEL TAILLEUR (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Colorado is DANIEL TAILLEUR (MD) registered?
Use La Jara, Colorado as the headline location for DANIEL TAILLEUR (MD) here.
Can I trust this NPI listing for DANIEL TAILLEUR (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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