Active NPI
Charles Hart Jenkins, MD
- Internal Medicine Physician
- Wheat Ridge, CO
National Provider Identifier
1285700815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20612
- Practice address
- 3555 Lutheran Pkwy
Suite 160
Wheat Ridge, CO 80033-6036 - Phone
- (303) 422-3727
- Fax
- (303) 467-9354
- NPI assigned
- Nov 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20612 | CO | Primary |
| Internal Medicine Physician | 207R00000X | 7815 | AZ |
Addresses
Primary practice location
3555 Lutheran Pkwy
Suite 160
Wheat Ridge, CO 80033-6036
Mailing address
3555 Lutheran Pkwy
Suite 160
Wheat Ridge, CO 80033-6036
Phone (303) 422-3727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02106127 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20612 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ekg Interpretation Service | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Wheat Ridge, CO
- NPI 1184682601
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285700815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 LUTHERAN PKWY",
"address_2": "SUITE 160",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336036",
"telephone_number": "303-422-3727",
"fax_number": "303-467-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 LUTHERAN PKWY",
"address_2": "SUITE 160",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336036",
"telephone_number": "303-422-3727",
"fax_number": "303-467-9354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "CHARLES",
"middle_name": "HART",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "20612",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "7815",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02106127",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.