Individual provider Active NPI

Kirk Ernest Jensen, M.D.

  • Pediatric Endocrinology Physician
  • Washington, DC
National Provider Identifier
1407899594
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
M-8551 Issued in ID
Practice address
Walter Reed Army Medical Center
6900 Georgia Ave
Washington, DC 20307-0001
Phone
(202) 782-6101
Fax
(202) 782-0774
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X M-8551 ID Primary

Addresses

Primary practice location

Walter Reed Army Medical Center
6900 Georgia Ave
Washington, DC 20307-0001

Mailing address

5828 Tudor LN
North Bethesda, MD 20852-2851
Phone (240) 669-0019

Other identifiers 1

IdentifierTypeStateIssuer
M-8851OtherIDSTATE LISCENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130612000649 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9234378712
I20140320001744 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric MedicinePractitioner - Endocrinology 9234378712

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407899594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 TUDOR LN",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208522851",
            "telephone_number": "240-669-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALTER REED ARMY MEDICAL CENTER",
            "address_2": "6900 GEORGIA AVE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070001",
            "telephone_number": "202-782-6101",
            "fax_number": "202-782-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KIRK",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "ID",
            "license": "M-8551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENCE",
            "identifier": "M-8851",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.