JARED DAVID MOTT (DO) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1891958864

JARED DAVID MOTT (DO) is a healthcare provider. based in Tacoma, Washington. specializing in PEDIATRIC MEDICINE, NEUROLOGY. They hold the professional credentials DO. They hold a License No. OP60460227 (WA). The NPI Number for JARED DAVID MOTT (DO) is 1891958864

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JARED DAVID MOTT (DO)
NPI
1891958864
Phone
(253) 792-6630
Address
311 S L St
Enumeration Date
9 July 2008
Last Update Date
27 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7346478901
Graduation Year
2005 (21 years ago)
PAC ID
3678703865
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20221103002806
Address ID
MI481090999AN1500XLEVE601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness75
Years active:17State licenses:3Digital endpointsOther names

648 PEDIATRIC MEDICINE in WA

Provider Addresses for JARED DAVID MOTT (DO)

  • 311 S L St

    Tacoma, WA 984053720

    Phone: (253) 792-6630

    Type: Location

  • 311, South L Street, Tacoma, Pierce County, Washington, 98405, United States

    TACOMA, WA 984053720

    Phone: (253) 792-6630

    Type: Location

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221103002806IPediatric MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I use this page to confirm JARED DAVID MOTT (DO)'s NPI?
Yes. JARED DAVID MOTT (DO) is listed with NPI 1891958864 in the public NPI dataset.
Does the file indicate JARED DAVID MOTT (DO) is practicing under active NPI?
Directory data currently reports JARED DAVID MOTT (DO) as active.
What taxonomy line describes JARED DAVID MOTT (DO)?
For research purposes, treat JARED DAVID MOTT (DO) as Neurology with Special Qualifications in Child Neurology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JARED DAVID MOTT (DO)?
JARED DAVID MOTT (DO)'s geographic hint is Tacoma, Washington in our summary view.
Why does JARED DAVID MOTT (DO) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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