Individual provider Active NPI

Jolyon David Schilling, M.D.

  • Vascular Surgery Physician
  • Tucson, AZ
National Provider Identifier
1336149277
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
20146 Issued in AZ
Practice address
5240 E Knight Dr
Suite 116
Tucson, AZ 85712-2122
Phone
(520) 320-5665
Fax
(520) 320-1377
NPI assigned
Jul 21, 2005
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 20146 AZ Primary

Addresses

Primary practice location

5240 E Knight Dr
Suite 116
Tucson, AZ 85712-2122

Mailing address

6524 E Santa Aurelia
Tucson, AZ 85715-3126
Phone (520) 320-5665

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
I20060206000893 AZ Practitioner - General Surgery 8820080385 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Washington School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agave Surgical Associates PCGroup PAC ID 3577555036, 3 clinicians
Tucson Medical CenterGroup PAC ID 4284527227, 29 clinicians

Practice addresses (Care Compare)

5240 E Knight Dr
Suite 116
Tucson, AZ 85712-2122
Phone (520) 320-5665

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 327-5461

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20146AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Agave Surgical Associates PC Surgery CurrentSince Oct 1, 2001 Accepting new patients
Tucson Medical Center CurrentSince Aug 1, 2024 Accepting new patients
TMC Medical Network CurrentSince May 5, 2023 Accepting new patients
Tucson Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Arizona Community Surgeons PC Surgery PastSince Aug 1, 2006 Accepting new patients

Locations

1951 N Wilmot Rd
Ste 2
Tucson, AZ 85712
Phone (520) 795-5845

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5240 E Knight Dr
Tucson, AZ 85712
Phone (520) 547-5812

5240 E Knight Dr
Ste 116
Tucson, AZ 85712
Phone (520) 320-5665

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jolyon.schilling.1@2697.direct.athenahealth.com
  • Direct secure messaging: jschilling.p1@direct.agavesurgical.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1336149277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 E SANTA AURELIA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153126",
            "telephone_number": "520-320-5665",
            "fax_number": "520-320-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 E KNIGHT DR",
            "address_2": "SUITE 116",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122122",
            "telephone_number": "520-320-5665",
            "fax_number": "520-320-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLING",
        "first_name": "JOLYON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "20146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.