Individual provider Active NPI

Timothy Daniel Jenkins, M.D.

  • Internal Medicine Physician
  • Tacoma, WA
National Provider Identifier
1083026025
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60739952 Issued in WA
Practice address
1717 S J St
Tacoma, WA 98405-4933
Phone
(253) 426-4101
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0449621 KS
Internal Medicine Physician 207R00000X 60739952 WA Primary

Addresses

Primary practice location

1717 S J St
Tacoma, WA 98405-4933

Mailing address

670 Glades Rd Ste 400
Boca Raton, FL 33431-6464
Phone (561) 955-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170629002801 WA Practitioner - Internal MedicinePractitioner - Hospitalist 2860785318 Reassigns benefits to 4 organizations
I20240827003275 KS Practitioner - HospitalistPractitioner - Internal Medicine 2860785318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians
Providence Health and Services - WashingtonGroup PAC ID 2860552973, 266 clinicians

Practice addresses (Care Compare)

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-2560

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 244-9970

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 623-5591

401 W Poplar St
Walla Walla, WA 99362-2846
Phone (509) 897-3320

Hospital & facility affiliations

  • Highline Medical Center Hospital, Burien, WA, CCN 500011
  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60739952WAMDInternal Medicine Physician
0449621KSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Hays Medical Center, Inc CurrentSince Sep 1, 2024 Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Aug 17, 2020 Accepting new patients
Providence Health & Services - Washington Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Franciscan Medical Group Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Jul 1, 2025 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Hays Medical Center, Inc. Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Franciscan Medical Group CurrentSince Aug 17, 2020 Accepting new patients
King County Public Hospital District No 2 CurrentSince Jul 1, 2025 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Hays Medical Center Inc Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

Organizations & group practices 14

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.

View all 14

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1083026025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 GLADES RD STE 400",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316464",
            "telephone_number": "561-955-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054933",
            "telephone_number": "253-426-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TIMOTHY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "0449621",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "60739952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.