Individual provider Active NPI

Xavier M. Jenkins, M.D.

  • Surgery Physician
  • Brooksville, FL
National Provider Identifier
1295767986
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME132241 Issued in FL
Practice address
11315 Cortez Blvd
Brooksville, FL 34613-5407
Phone
(352) 592-0220
Fax
(352) 597-4272
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME132241 FL Primary

Addresses

Primary practice location

11315 Cortez Blvd
Brooksville, FL 34613-5407

Mailing address

11315 Cortez Blvd
Brooksville, FL 34613-5407
Phone (352) 592-0220

Other identifiers 5

IdentifierTypeStateIssuer
P00248174OtherRR MEDICARE
200258400CMedicaidKS
200258400LMedicaidKS
209182104MedicaidMO
188387OtherMOANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address XAVIER.JENKINS@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190508001423 FL Practitioner - General Surgery 5395659338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital Family Practice LLCGroup PAC ID 2264595941, 44 clinicians

Practice addresses (Care Compare)

11371 Cortez Blvd
Brooksville, FL 34613-5409

11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 596-6632

11377 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 597-3060

7515 State Rd
52 Suite 102
Hudson, FL 34667-6757
Phone (727) 863-0008

Hospital & facility affiliations

  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as group
Quality
78.21
Promoting interoperability
100
Improvement activities
40
Cost
77.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)23
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132241FLMDSurgery Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Community Hospital Family Practice LLC Surgery CurrentSince May 1, 2019 Accepting new patients
Mercy Clinic Pittsburg LLC Surgery CurrentSince Mar 24, 2025 Accepting new patients
Lakewood Health System Past Accepting new patients

Locations

11315 Cortez Blvd
Brooksville, FL 34613
Phone (352) 592-0220

11371 Cortez Blvd
Ste 239
Brooksville, FL 34613
Phone (352) 592-0220

7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: xavier.jenkins@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1295767986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135407",
            "telephone_number": "352-592-0220",
            "fax_number": "352-597-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135407",
            "telephone_number": "352-592-0220",
            "fax_number": "352-597-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "XAVIER",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME132241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00248174",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200258400C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200258400L",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209182104",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "188387",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "XAVIER.JENKINS@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11315 Cortez Blvd",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346135407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.