Individual provider Active NPI

Jarrett Wesley Hamilton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sierra Vista, AZ
National Provider Identifier
1033206131
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
648 Issued in AZ
Practice address
1951 Frontage Rd
Sierra Vista, AZ 85635-4606
Phone
(520) 515-7480
Fax
(520) 459-7030
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 648 AZ Primary

Addresses

Primary practice location

1951 Frontage Rd
Sierra Vista, AZ 85635-4606

Mailing address

302 El Camino Real
Ste 5
Sierra Vista, AZ 85635-2860
Phone (520) 458-4335

Other identifiers 1

IdentifierTypeStateIssuer
193106MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070312000561 AZ Practitioner - Podiatry 5395848378 Reassigns benefits to 1 organization
I20231030000592 WA Practitioner - Podiatry 5395848378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCCH Trios Health LLCGroup PAC ID 5799035416, 65 clinicians

Practice addresses (Care Compare)

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue67
Removal of nail tissue139
Removal or shaving of skin growth47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
648AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Regional Health Center Medical Group LLC CurrentSince Sep 1, 2012 Accepting new patients
RCCH Trios Health LLC CurrentSince Dec 4, 2023 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients

Locations

1101 N San Antonio Ave
Douglas, AZ 85607
Phone (520) 364-1194

302 El Camino Real
Ste 5
Sierra Vista, AZ 85635
Phone (520) 364-7544

302 El Camino Real
Ste 10F
Sierra Vista, AZ 85635
Phone (520) 459-3920

5750 E Highway 90
Ste 200
Sierra Vista, AZ 85635
Phone (520) 263-3500

302 El Camino Real
Ste 11AB
Sierra Vista, AZ 85635
Phone (520) 459-1914

151 Colonia de Salud
Ste B
Sierra Vista, AZ 85635
Phone (520) 263-3835

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350

3730 Plaza Way
#3300
Kennewick, WA 99338

3730 Plaza Way
Fl 5
Kennewick, WA 99338
Phone (509) 221-5969

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: jarrett.hamilton.1@18485.direct.athenahealth.com
  • Direct secure messaging: jarrett.hamilton.1@19231.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1033206131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL",
            "address_2": "STE 5",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352860",
            "telephone_number": "520-458-4335",
            "fax_number": "520-452-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 FRONTAGE RD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354606",
            "telephone_number": "520-515-7480",
            "fax_number": "520-459-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JARRETT",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193106",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.