Active NPI
Jason Paul Dupont, MD
- Dermatology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 31546
- Practice address
- 6296 E Grant Rd Ste 180
Tucson, AZ 85712-5832 - Phone
- (520) 290-8555
- Fax
- (520) 290-6470
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 31546 | AZ | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 31546 | AZ |
Addresses
Primary practice location
6296 E Grant Rd Ste 180
Tucson, AZ 85712-5832
Mailing address
6296 E Grant Rd Ste 180
Tucson, AZ 85712-5832
Phone (520) 290-8555
Other practice location 1
1055 N La Canada Dr Ste 101
Green Valley, AZ 85614-3700
Phone (520) 589-2039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00424709 | Other | AZ | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Baylor College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 N la Canada Dr
Suite 131
Green Valley, AZ 85614-3700
Phone (520) 589-2039
3838 N Campbell Ave
BLDG 1
Tucson, AZ 85719-1454
Phone (520) 694-2873
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 35 |
| Removal of skin lesions | 43 |
| Removal of skin cancer | 377 |
| Skin biopsy | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31546 | AZ | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Dermatology | Current | Accepting new patients |
| Oasis Dermatology PC | Dermatology | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients | |
| J Robert West, M.D., Inc | Dermatology | Past | Accepting new patients |
Locations
1055 N La Canada Dr
Ste 101
Green Valley, AZ 85614
Phone (520) 589-2039
1055 N La Canada Dr
Ste 131
Green Valley, AZ 85614
Phone (520) 589-2039
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Dermatology
-
- Dermatology Physician
- Green Valley, AZ
- NPI 1780229625
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
dba Southern California Dermatology
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1922118298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6296 E GRANT RD STE 180",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857125832",
"telephone_number": "520-290-8555",
"fax_number": "520-290-6470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6296 E GRANT RD STE 180",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857125832",
"telephone_number": "520-290-8555",
"fax_number": "520-290-6470"
}
],
"practiceLocations": [
{
"address_1": "1055 N La Canada Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Green Valley",
"state": "AZ",
"postal_code": "856143700",
"country_code": "US",
"telephone_number": "520-589-2039",
"fax_number": "520-589-2039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUPONT",
"first_name": "JASON",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "31546",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "AZ",
"license": "31546",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00424709",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.