NPIMap

Individual provider Active NPI

Richard T Jenkins, M.D.

  • Nephrology Physician
  • Lewiston, NY
National Provider Identifier
1164840369
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
290839-1 Issued in NY
Practice address
5320 Lewiston Rd,
Suite 106
Lewiston, NY 14092-1409
Phone
(716) 220-7670
NPI assigned
Apr 3, 2014
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Nephrology Physician 207RN0300X 290839-1 NY Primary

Addresses

Primary practice location

5320 Lewiston Rd,
Suite 106
Lewiston, NY 14092-1409

Mailing address

437 Vanderbilt Ave
Niagara Falls, NY 14305-1549
Phone (716) 622-7355

Other practice location 1

201 Lyons Ave
Newark, NJ 07112-2027
Phone (716) 622-7355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120001061 NY Practitioner - NephrologyPractitioner - Internal Medicine 9133551716 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

1508 Sheridan Dr
Kenmore, NY 14217-1212
Phone (716) 871-9988

2950 Elmwood Ave
Kenmore, NY 14217-1304

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

3909 Forest Pkwy
North Tonawanda, NY 14120-3709
Phone (716) 696-6193

5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 297-4800

5320 Military Rd
Suite 106
Lewiston, NY 14092-2149
Phone (716) 220-7670

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 837-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290839-1NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Oct 27, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Oct 27, 2025 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Oct 27, 2025 Accepting new patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Oct 27, 2025 Accepting new patients
Trinity Medical Wny PC CurrentSince Dec 1, 2019 Accepting new patients
Trinity Medical Wny PC Nephrology CurrentSince Dec 1, 2019 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Oct 27, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Kenmore Mercy Hospital CurrentSince Oct 27, 2025 Accepting new patients
Kenmore Mercy Hospital CurrentSince Oct 27, 2025 Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

Interoperability endpoints

  • Direct secure messaging: rjenkins110911@direct.chsbuffalo.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1164840369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 VANDERBILT AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051549",
            "telephone_number": "716-622-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 LEWISTON RD,",
            "address_2": "SUITE 106",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921409",
            "telephone_number": "716-220-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "716-622-7355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "RICHARD",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2021-03-11",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "290839-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

Verify at the official NPI Registry.