Active NPI
Jared Anthony Head, MD
- Internal Medicine Physician
- Bend, OR
National Provider Identifier
1366939621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD227950
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD227950 | OR | MD | Internal Medicine Physician |
| 94158 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Internal Medicine | Current | Accepting new patients |
| Lexington Health Inc | Internal Medicine | Current | Accepting new patients |
| Lexington Health Inc | Current | Accepting new patients | |
| Everwell Medicine | Internal Medicine | Current | Accepting new patients |
| Lexington Health Inc | Internal Medicine | Current | Accepting new patients |
| Banner-University Medical Group | Current | 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.
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- NPI 1376144972
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; 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.