Individual provider Active NPI

Jared Gilman, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tucson, AZ
National Provider Identifier
1801240569
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
63357 Issued in AZ
Practice address
5390 E Erickson Dr
Tucson, AZ 85712-2822
Phone
(520) 733-2250
NPI assigned
Apr 19, 2016
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 63357 AZ Primary

Addresses

Primary practice location

5390 E Erickson Dr
Tucson, AZ 85712-2822

Mailing address

5390 E Erickson Dr
Tucson, AZ 85712-2822
Phone (520) 733-2250

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
I20210614000314 AZ Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 5799070736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4881 E Grant Rd
Tucson, AZ 85712-2704
Phone (520) 829-6776

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63357AZMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pisa ASC Holdco LLC CurrentSince Mar 1, 2023 Accepting new patients
Quality of Life Medical Centers, LLC CurrentSince Jul 1, 2021 Accepting new patients
Pain Institute of Southern Arizona Pisa PC Pain Medicine CurrentSince Mar 1, 2023 Accepting new patients
Pain Institute of Southern Arizona Pisa PC Pain Medicine CurrentSince Mar 1, 2023 Accepting new patients
Todd C Case MD PC Past Accepting new patients

Locations

4582 N 1st Ave
Ste 170
Tucson, AZ 85718
Phone (520) 505-3766

4741 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 829-6620

4881 E Grant Rd
Tucson, AZ 85712
Phone (520) 829-6776

4881 E Grant Rd
Ste 101
Tucson, AZ 85712
Phone (520) 829-6776

4881 E Grant Rd
Ste 170
Tucson, AZ 85712

5350 E Erickson Dr
Tucson, AZ 85712
Phone (520) 624-8935

5390 E Erickson Dr
Tucson, AZ 85712
Phone (520) 314-1545

7140 E Rosewood St
Ste 110
Tucson, AZ 85710
Phone (480) 210-3407

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72783

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1801240569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 E ERICKSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122822",
            "telephone_number": "520-733-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 E ERICKSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122822",
            "telephone_number": "520-733-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "63357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.