Individual provider Active NPI

Jason Hanley

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1265816631
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
66403 Issued in AZ
Practice address
677 N Wilmot Rd
Tucson, AZ 85711-2701
Phone
(520) 795-2889
NPI assigned
Jul 16, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arizona College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology LTD LLC 107 clinicians

Practice addresses (Care Compare)

677 N Wilmot Rd
Tucson, AZ 85711-2701
Phone (520) 571-9599

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Northern Cochise Community Hospital, Inc. Hospital, Willcox, AZ, CCN 031302
  • Benson Hospital Hospital, Benson, AZ, CCN 031301

Merit-based Incentive Payment System (MIPS)

Final score
78.69 of 100Reported as group
Quality
75.27
Improvement activities
40
Cost
74.3

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220524002252 AZ Practitioner - Diagnostic Radiology 5890196679 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144471CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology LTD., LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
RLC LLC Diagnostic Radiology CurrentSince Sep 11, 2023 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Arizona Oncology Associates PC Diagnostic Radiology PastSince May 1, 2012 Accepting new patients
Arizona State Radiology, PC Diagnostic Radiology Past Accepting new patients

Locations

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

677 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 571-9599

700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390

Interoperability endpoints

  • Direct secure messaging: jhanley531136@direct.uclahealth.org

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A144471 CA
Vascular & Interventional Radiology Physician 2085R0204X A144471 CA
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 66403 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

677 N Wilmot Rd
Tucson, AZ 85711-2701

Mailing address

PO Box 745859
Atlanta, GA 30374-5859

Other practice location 1

757 Westwood Plz
Los Angeles, CA 90095-8358
Phone (310) 301-6800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2022.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1265816631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745859",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112701",
            "telephone_number": "520-795-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958358",
            "country_code": "US",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A144471",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A144471",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "66403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.