Individual provider Active NPI

Jason Kyle Jones, M.D.

  • Dermatology Physician
  • Amarillo, TX
National Provider Identifier
1083932107
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P6004 Issued in TX
Practice address
4302 Wolflin Ave
Amarillo, TX 79106-5959
Phone
(806) 355-9866
NPI assigned
May 13, 2010
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X P6004 TX Primary

Addresses

Primary practice location

4302 Wolflin Ave
Amarillo, TX 79106-5959

Mailing address

4302 Wolflin Ave
Amarillo, TX 79106-5959
Phone (806) 355-9866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140501001491 TX Practitioner - Dermatology 4880827682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Plains Dermatology Center, P.a.Group PAC ID 9931189198, 3 clinicians

Practice addresses (Care Compare)

4302 Wolflin Ave
Amarillo, TX 79106-5959
Phone (806) 355-9866

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision289
Removal of skin lesions2514
Removal or shaving of skin growth32
Skin biopsy766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P6004TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Dermatology Center, P.a. CurrentSince Jul 1, 2014 Accepting new patients
Enos Dermatopathology PLLC CurrentSince Feb 13, 2022 Accepting new patients

Locations

4302 Wolflin Ave
Amarillo, TX 79106
Phone (806) 355-9866

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1083932107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791065959",
            "telephone_number": "806-355-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791065959",
            "telephone_number": "806-355-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JASON",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.