RANDALL D. JENKINS MD – NPI #1619934213
Pediatrics

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

RANDALL JENKINS is a physician located in BOISE, ID. NPPES has assigned the NPI number 1619934213 to RANDALL JENKINS on April 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0210X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Nephrology

The NPI profile was previously updated about 10 years ago on Jan 29, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL JENKINS below.

NPI Profile for
RANDALL D. JENKINS

NPI Number
1619934213
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDALL D. JENKINS
Credentials
MD
Primary location
100 E IDAHO ST
SUITE 304
BOISE, ID 83712
Phone: (208) 381-7336 Fax: (208) 381-7029
Mailing address
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone: (208) 706-8449 Fax: (208) 381-7029
Sole Proprietor
No
Updated
Identifiers

Identifiers for RANDALL JENKINS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDALMD7720R
MEDICAIDCAXPY 190107
MEDICAIDID00340150
MEDICAIDOR270819
MEDICAIDWA8518003
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0210X
- Pediatrics / Pediatric Nephrology (Primary)
OR 12771

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RANDALL JENKINS is affiliated with the following medical group(s):
  • HOSPITAL
    • OHSU HOSPITAL AND CLINICS
      3181 SW SAM JACKSON PARK ROAD
      PORTLAND, OR 97239

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.