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

Dr. John David Tillou, MD

Individual provider Surgery Physician · NPI 1518232685

Dr. John David Tillou, MD is a Colorectal Surgery (Proctology) in Fairfax, Virginia. Graduated from University of Virginia School of Medicine in 2012, 14 years ago. Practices with Fairfax Colon and Rectal Surgery PC, a 12-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Virginia.

Years since qualifying
14
Trained at
University of Virginia School of Medicine
Licensed in
MA, VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2710 Prosperity Ave Ste 200
Fairfax, VA 22031
Phone: (703) 280-2841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 0101264822 (VA)
Surgery Physician Taxonomy 208600000X · Licence 252747 (MA)

Record details

NPI number1518232685
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2012
Last updated in NPPESMarch 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Fairfax Colon And Rectal Surgery Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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