NPIMap

Individual provider Active NPI

Kirk Jenkins

  • Rheumatology Physician
  • Valparaiso, IN
National Provider Identifier
1306161955
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01080781A Issued in IN
Practice address
1461 Morthland Dr Ste a
Valparaiso, IN 46385-6362
Phone
(219) 947-6713
Fax
(219) 703-6885
NPI assigned
Apr 6, 2010
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 46036 KY
Rheumatology Physician 207RR0500X 01080781A IN Primary

Addresses

Primary practice location

1461 Morthland Dr Ste a
Valparaiso, IN 46385-6362

Mailing address

1461 Morthland Dr Ste a
Valparaiso, IN 46385-6362
Phone (219) 947-6713

Other practice location 1

Uk Division Of Rheumatology
134 E. Maxwell, Suite 401
Lexington, KY 40536-0284
Phone (859) 323-3900

Other practice location 2

7835 Grand Blvd
Hobart, IN 46342
Phone (219) 947-6713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150909000815 KY Practitioner - Rheumatology 3678889557 Reassigns benefits to 3 organizations
I20181105001387 IN Practitioner - Rheumatology 3678889557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Louisville School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
219 Health Network IncGroup PAC ID 0547521452, 70 clinicians

Practice addresses (Care Compare)

1400 S Lake Park Ave
Suite 407
Hobart, IN 46342-6791
Phone (219) 836-1310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01080781AINMDRheumatology Physician
46036KYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
219 Health Network Inc CurrentSince Aug 15, 2022 Accepting new patients
Rockcastle County Hospital, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Clark Regional Physician Practices, LLC CurrentSince Sep 13, 2016 Accepting new patients
Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic Current Accepting new patients
Rockcastle County Hospital, Inc. Rheumatology CurrentSince Nov 1, 2015 Accepting new patients
Kentucky Medical Services Foundation, Inc CurrentSince Jul 15, 2015 Accepting new patients
219 Health Network, Inc. CurrentSince Aug 15, 2022 Accepting new patients
Community Care Network Inc CurrentSince Sep 1, 2018 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Sep 13, 2016 Accepting new patients
219 Health Network, Inc. PastSince Jan 29, 2023 Accepting new patients

Locations

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

1400 S Lake Park Ave
Hobart, IN 46342
Phone (219) 681-2065

1400 S Lake Park Ave
Ste 407
Hobart, IN 46342
Phone (219) 392-7025

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

7835 Grand Blvd
Hobart, IN 46342
Phone (219) 769-2258

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

1461 Morthland Dr
Ste A
Valparaiso, IN 46385
Phone (219) 663-4007

3800 Saint Mary Rd
Ste 203
Valparaiso, IN 46383
Phone (219) 947-6713

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

225 Hospital Dr
Ste 300A
Winchester, KY 40391
Phone (859) 737-6555

Organizations & group practices 10

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 7

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1306161955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 MORTHLAND DR STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856362",
            "telephone_number": "219-947-6713",
            "fax_number": "219-703-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 MORTHLAND DR STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856362",
            "telephone_number": "219-947-6713",
            "fax_number": "219-703-6885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uk Division Of Rheumatology",
            "address_2": "134 E. Maxwell, Suite 401",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360284",
            "country_code": "US",
            "telephone_number": "859-323-3900",
            "fax_number": "859-257-1331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7835 Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "46342",
            "country_code": "US",
            "telephone_number": "219-947-6713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KIRK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "46036",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01080781A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.