Individual provider Active NPI

Jason Paul Dupont, MD

  • Dermatology Physician
  • Tucson, AZ
National Provider Identifier
1922118298
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
31546 Issued in AZ
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00424709OtherAZRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707000040 AZ Practitioner - Dermatology 8527169853 Reassigns benefits to 2 organizations

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
Oasis Dermatology PCGroup PAC ID 9032544515, 4 clinicians
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

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 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of skin lesions43
Removal of skin cancer377
Skin biopsy30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31546AZMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Dermatology CurrentSince Dec 1, 2015 Accepting new patients
Oasis Dermatology PC Dermatology CurrentSince Dec 1, 2019 Accepting new patients
Banner-University Medical Group CurrentSince Dec 1, 2015 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.