CHRISTOPHER LEEDS TILLOTSON MD NPI 1295714954

NPI Information

NPI: 1295714954
Provider Name: CHRISTOPHER LEEDS TILLOTSON, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
7595 ANAGRAM DR
EDEN PRAIRIE, MN
ZIP 55344
Phone: (612) 573-2200
Get Directions

Christopher Leeds Tillotson, MD is a diagnostic radiology radiology in Eden Prairie, MN with 40 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Christopher Leeds Tillotson, MD NPI is 1295714954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1984

The provider's business location address is:

7595 ANAGRAM DR
EDEN PRAIRIE, MN
ZIP 55344-399
Phone: (612) 573-2200
Fax: (612) 573-2274

The NPI 1295714954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	32771	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	674795700	MEDICAID	MINNESOTA
2	48603TI	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD OF MINNESOTA
3	23018	OTHER	MINNESOTA	AMERICA'S PPO
4	9246569	OTHER	MINNESOTA	DAKOTA CARE
5	HP14559	OTHER	MINNESOTA	HEALTHPARTNERS
6	300085357	OTHER	MINNESOTA	RAILROAD MEDICARE MN
7	1021804	OTHER	MINNESOTA	PREFERRED ONE
8	1604147	OTHER	MINNESOTA	MEDICA
9	32368200	MEDICAID	WISCONSIN
10	100718	OTHER	MINNESOTA	UCARE
11	99112160	OTHER	WISCONSIN	WI HEALTH INSURANCE RISK SHARING PLAN
12	7562520	MEDICAID	IOWA
13	P00437108	OTHER	WISCONSIN	RAILROAD MEDICARE WI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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