Individual provider Active NPI

Jason Wesley Gillman, MD

  • Infectious Disease Physician
  • Dallas, TX
National Provider Identifier
1427219690
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
N4429 Issued in TX
Practice address
1717 Main St Ste 5850
Dallas, TX 75201-7317
Phone
(972) 449-0540
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X N4429 TX Primary

Addresses

Primary practice location

1717 Main St Ste 5850
Dallas, TX 75201-7317

Mailing address

1717 Main St Ste 5850
Dallas, TX 75201-7317
Phone (972) 449-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, TN, SC, ID, MA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20130723000639 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 2860633591 Reassigns benefits to 1 organization
I20241217001739 NM Practitioner - Internal MedicinePractitioner - Infectious Disease 2860633591 Reassigns benefits to 1 organization
I20250304000201 TN Practitioner - Internal Medicine 2860633591 Reassigns benefits to 1 organization
I20250415003325 SC Practitioner - Internal Medicine 2860633591
I20250520002638 ID Practitioner - Internal Medicine 2860633591 Reassigns benefits to 1 organization
I20260127003806 MA Practitioner - Infectious Disease 2860633591

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

Spring, TX 77382
Phone (972) 449-0540

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (972) 449-0540

2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (972) 449-0540

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (972) 449-0540

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Infectious Disease CurrentSince Nov 21, 2024 Accepting new patients

Locations

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Organizations & group practices 1

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1427219690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017317",
            "telephone_number": "972-449-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017317",
            "telephone_number": "972-449-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLMAN",
        "first_name": "JASON",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "N4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.