Individual provider Active NPI

Jared Wilson, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tucson, AZ
National Provider Identifier
1922532977
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
65387 Issued in AZ
Practice address
1815 W Saint Marys Rd
Tucson, AZ 85745-2653
Phone
(520) 653-0146
Fax
(480) 573-0131
NPI assigned
Apr 17, 2017
Last updated
Nov 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 65387 AZ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 65387 AZ Primary

Addresses

Primary practice location

1815 W Saint Marys Rd
Tucson, AZ 85745-2653

Mailing address

2525 W Greenway Rd Ste 125
Phoenix, AZ 85023-4226
Phone (480) 573-0130

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
I20221014000461 AZ Practitioner - Pain ManagementPractitioner - Anesthesiology 7911262894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6585 N Oracle Rd
Tucson, AZ 85704-5614
Phone (520) 229-2080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.33 of 100Reported as group
Quality
0
Improvement activities
40
Cost
74.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sky Spine & Sports Medicine PC Pain Medicine CurrentSince Jul 6, 2022 Accepting new patients

Locations

2530 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 229-2080

6460 E Grant Rd
Unit 30608
Tucson, AZ 85751

6585 N Oracle Rd
Tucson, AZ 85704
Phone (520) 229-2080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7527/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jared.wilson.1@7527.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793836800000",
    "number": "1922532977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W GREENWAY RD STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234226",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W SAINT MARYS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452653",
            "telephone_number": "520-653-0146",
            "fax_number": "480-573-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JARED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "AZ",
            "license": "65387",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "65387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.