DAVID J TILSTRA MD NPI 1316928351

NPI Information

  • NPI: 1316928351
  • Provider Name: DAVID J TILSTRA, MD
  • Classification: Medical Genetics - 207SG0201X
  • Specialization: Clinical Genetics (M.D.)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1900 CENTRACARE CIR
    SAINT CLOUD, MN
    ZIP 56303
  • Phone: (320) 654-3630

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NPI Details

David J Tilstra, MD is a clinical genetics (m.d.) medical genetics in Saint Cloud, MN with 38 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. David J Tilstra, MD NPI is 1316928351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1988

The provider's business location address is:

1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303-000
Phone: (320) 654-3630
Fax: (320) 654-3657

The NPI 1316928351 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 11/8/2005 and was last updated on 12/13/2011.

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
1208000000XPediatrics37920MINNESOTANo
2207SG0201XMedical GeneticsClinical Genetics (M.D.)37920MINNESOTAYes

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
11008055OTHERPREFERRED ONE
2HP25528OTHERHEALTH PARTNERS
37713350OTHERSOUTH DAKOTA MA
4110417OTHERUCARE
5370001385MEDICARE ID-TYPE UNSPECIFIED
6074814500OTHERMEDICAL ASSISTANCE
72089340OTHERFIRST HEALTH PLAN
8763003OTHERARAZ GROUP AMERICAS PPO
91200086OTHERMEDICA HEALTH PLANS
1051A44TIOTHERBLUE CROSS BLUE SHIELD
11G01924MEDICARE UPIN

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: 11/21/2025

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