Individual provider Active NPI

Jared Anthony Head, MD

  • Internal Medicine Physician
  • Bend, OR
National Provider Identifier
1366939621
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD227950 Issued in OR
Practice address
210 SW Century Dr Apt 524
Bend, OR 97702-3837
Phone
(541) 696-3901
NPI assigned
Apr 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 63339 AZ
Internal Medicine Physician 207R00000X 94158 SC
Internal Medicine Physician 207R00000X MD227950 OR Primary

Addresses

Primary practice location

210 SW Century Dr Apt 524
Bend, OR 97702-3837

Mailing address

210 SW Century Dr Apt 524
Bend, OR 97702-3837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211105001856 AZ Practitioner - Internal Medicine 0446649800 Reassigns benefits to 1 organization
I20250415000317 SC Practitioner - Hospitalist 0446649800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD227950ORMDInternal Medicine Physician
94158SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Nov 2, 2021 Accepting new patients
Banner-University Medical Group Internal Medicine Current Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Lexington Health Inc Current Accepting new patients
Everwell Medicine Internal Medicine Current Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Banner-University Medical Group CurrentSince Nov 2, 2021 Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1625 N Campbell Ave
Tucson, AZ 85719

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1366939621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SW CENTURY DR APT 524",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SW CENTURY DR APT 524",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023837",
            "telephone_number": "541-696-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "JARED",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-21",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "63339",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "94158",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD227950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.