NPIMap

Individual provider Active NPI

Jason C Wills, M.D.

  • Gastroenterology Physician
  • Salt Lake City, UT
National Provider Identifier
1871689554
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4732889 Issued in UT
Practice address
1250 E 3900 S
Suite 360
Salt Lake City, UT 84124-1348
Phone
(801) 263-3041
Fax
(801) 263-8485
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4732889 UT Primary

Addresses

Primary practice location

1250 E 3900 S
Suite 360
Salt Lake City, UT 84124-1348

Mailing address

6360 S 3000 E
#220
Salt Lake City, UT 84121-6923

Other identifiers 4

IdentifierTypeStateIssuer
47328891205001OtherUTBLUE CROSS BLUE SHIELD
47328891205001OtherUTHEALTHWISE
47328891205001OtherUTVALUE CARE
88770OtherUTPUBLIC EMPLOYEES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050408000576 UT Practitioner - GastroenterologyPractitioner - Internal Medicine 1052358397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Nebraska College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Gastroenterology LLCGroup PAC ID 9830174150, 71 clinicians

Practice addresses (Care Compare)

1187 E 3900
Salt Lake City, UT 84124-1201
Phone (801) 263-3041

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.45 of 100Reported as group
Quality
47.08
Promoting interoperability
95
Improvement activities
40
Cost
75.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy92
Upper gastrointestinal (GI) endoscopy for acid reflux124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4732889UTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Gastroenterology Gastroenterology CurrentSince Sep 14, 2012 Accepting new patients
Utah Gastroenterology LLC Gastroenterology Current Accepting new patients
Utah Gastroenterology LLC Gastroenterology Past Accepting new patients
Advantage Inpatient Medical Specialists, P.C. Past Accepting new patients
U.S. Healthworks Medical Group of Utah, Inc. PastSince Jun 10, 2000 Accepting new patients

Locations

13953 S Bangerter Pkwy
Draper, UT 84020
Phone (385) 900-4090

38 W 13775 S
Ste 100
Draper, UT 84020
Phone (801) 727-4280

12391 S 4000 W
Riverton, UT 84096
Phone (801) 302-1700

6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144

6360 S 3000 E
Ste 220
Salt Lake Cty, UT 84121
Phone (801) 944-3195

1250 E 3900 S
Ste 360
Salt Lake Cty, UT 84124
Phone (801) 262-7447

1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041

Interoperability endpoints

  • FHIR API: https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1871689554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "#220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S",
            "address_2": "SUITE 360",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241348",
            "telephone_number": "801-263-3041",
            "fax_number": "801-263-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "JASON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "4732889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47328891205001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHWISE",
            "identifier": "47328891205001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE CARE",
            "identifier": "47328891205001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC EMPLOYEES",
            "identifier": "88770",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.