Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jed Jitsugo Tatsuyama, MD

Individual provider Family Medicine Physician · NPI 1114960192

Dr. Jed Jitsugo Tatsuyama, MD is a Family Medicine Physician in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1619 N Greenwood St Ste 200
Pueblo, CO 81003-2644
Phone: (719) 543-1130
Fax: (719) 561-2764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 41404 (CO)

Record details

NPI number1114960192
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESApril 30, 2008

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