Active NPI
Christopher D Jenkins, MD
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1023089331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19530
- Practice address
- 7501 Riverside Pkwy
Tulsa, OK 74136 - Phone
- (918) 710-4200
- Fax
- (918) 403-6331
- NPI assigned
- Jan 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19530 | OK | Primary |
Addresses
Primary practice location
7501 Riverside Pkwy
Tulsa, OK 74136
Mailing address
7501 Riverside Pkwy
Tulsa, OK 74136-5056
Phone (918) 710-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100095130A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050301000184 | OK | Practitioner - Family Practice | 4385697408 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. John Physicians, Inc.
Practice addresses (Care Compare)
1705 E 19TH St
Tulsa, OK 74104-5410
Hospital & facility affiliations
- Ascension St John Medical Center
- Ascension St John Broken Arrow
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19530 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Sterling Emergency Services of Oklahoma, Inc. | Past | Accepting new patients | |
| St John Medical Center Inc | Past | Accepting new patients | |
| St John Urgent Care Clinics Inc | Past | Accepting new patients |
Locations
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
7501 Riverside Pkwy
Tulsa, OK 74136
Phone (918) 710-4200
Interoperability endpoints
- christopher.jenkins@direct.stjohnhealthsystem.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Rural Health Clinic/Center
- Coffeyville, KS
- NPI 1669792818
-
- Rural Health Clinic/Center
- Caney, KS
- NPI 1912961418
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1003918830
-
- Nurse Practitioner
- Tulsa, OK
- NPI 1366480295
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": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1023089331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 RIVERSIDE PKWY",
"city": "TULSA",
"state": "OK",
"postal_code": "741365056",
"telephone_number": "918-710-4200",
"fax_number": "918-403-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 RIVERSIDE PKWY",
"city": "TULSA",
"state": "OK",
"postal_code": "74136",
"telephone_number": "918-710-4200",
"fax_number": "918-403-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "19530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100095130A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.