Active NPI
Jason Hanley
- Diagnostic Radiology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 66403
- 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.
-
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1841261989
AZ, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1104877711
Diagnostic Radiology
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1013060367
Hospital
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
Practice addresses (Care Compare)
677 N Wilmot Rd
Tucson, AZ 85711-2701
Phone (520) 571-9599
Hospital & facility affiliations
- Tucson Medical Center
- Northern Cochise Community Hospital, Inc.
- Benson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.69 of 100
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A144471 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology LTD., LLC | Diagnostic Radiology | Current | Accepting new patients |
| RLC LLC | Diagnostic Radiology | Current | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Arizona Oncology Associates PC | Diagnostic Radiology | Past | 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
- jhanley531136@direct.uclahealth.org
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.