Sabrina Renee Malone Jenkins, M.D.

Individual provider Active NPI Neonatal-Perinatal Medicine Physician · Salt Lake City, UT

NPI 1134416183 · NPPES record last updated Nov 23, 2021

Key facts

NPI
1134416183
Entity type
Individual (NPI type 1)
Primary specialty
Neonatal-Perinatal Medicine Physician 2080N0001X
License
8993940-1205 (UT)
Practice address
295 S Chipeta Way
Salt Lake City, UT 84108-1287
Phone
(801) 581-7052
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171206002095 UT Practitioner - Pediatric Medicine 0941427165 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8993940-1205UTMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. Current
since Nov 1, 2017
Accepting new patients
Ihc Health Services Inc Current
since Nov 1, 2017
Accepting new patients
University of Utah Pediatric Services Current
since Jan 2, 2019
Accepting new patients
University of Utah Pediatric Acuity Care Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
University of Utah Pediatric Acuity Care Current
since Jan 2, 2019
Accepting new patients
University of Utah Pediatric Acuity Care Neonatal-Perinatal Medicine Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

2250 N Miller Campus Dr
Lehi, UT 84048
Phone (385) 531-1000

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 8993940-1205 UT Yes

Addresses

Primary practice location

295 S Chipeta Way
Salt Lake City, UT 84108-1287

Mailing address

295 S Chipeta Way
Salt Lake City, UT 84108-1287
Phone (801) 581-7052

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address smalonejenkins103722@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Neonatal-Perinatal Medicine Physician in Utah

Sources for this page

Verify at the official NPI Registry.