IndividualActive
Jed Tatsuyama, MD
NPI 1114960192 · Family Medicine Physician · Pueblo, CO
Jed Tatsuyama, MD is a Family Medicine Physician provider in Pueblo, CO (NPI 1114960192).
Provider details
- NPI number
- 1114960192
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 41404 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1619 N Greenwood St
Suite 200
Pueblo, CO 81003-2644
Phone: (719) 543-1130
Fax: (719) 561-2764
Street-level locationGet directions
Mailing address
1619 N Greenwood Street
Pueblo, CO 81003
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2008-04-30
Frequently asked questions
- What is Jed Tatsuyama's NPI number?
- Jed Tatsuyama's National Provider Identifier (NPI) is 1114960192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jed Tatsuyama's specialty?
- Jed Tatsuyama is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jed Tatsuyama located?
- Jed Tatsuyama's practice location on file with NPPES is 1619 N Greenwood St, Pueblo, CO 81003-2644.
- What is Jed Tatsuyama's phone number?
- The practice phone number listed in the NPPES registry for Jed Tatsuyama is (719) 543-1130.
- Is Jed Tatsuyama's NPI active?
- Yes — Jed Tatsuyama's NPI (1114960192) is active in the NPPES registry as of the last update on 2008-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.