Individual provider Active NPI

Patrick F Jenkins Jr., M.D.

  • Family Medicine Physician
  • Somerset, KY
National Provider Identifier
1417921883
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26610 Issued in KY
Practice address
350 Hospital Way
Suite 100
Somerset, KY 42503-2872
Phone
(606) 451-2650
Fax
(606) 451-2641
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26610 KY Primary

Addresses

Primary practice location

350 Hospital Way
Suite 100
Somerset, KY 42503-2872

Mailing address

350 Hospital Way
Suite 100
Somerset, KY 42503-2872
Phone (606) 451-2650

Other identifiers 6

IdentifierTypeStateIssuer
C92453OtherCUMBERLAND HEALTHCARE
64266109MedicaidKY
000000054074OtherANTHEM
5686144OtherAETNA
5125850OtherCCN
0088056OtherCHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100514000525 KY Practitioner - Family Practice 4284762030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Langdon St
Somerset, KY 42503-2750
Phone (606) 678-9688

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 451-6599

350 Hospital Way
Suite 100
Somerset, KY 42503-1872
Phone (606) 451-2600

353 Bogle St
Suite C
Somerset, KY 42503-2865
Phone (606) 678-2220

353 Bogle St a
Somerset, KY 42503-2889
Phone (606) 451-3820

Hospital & facility affiliations

  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26610KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Hospital, LLC Family Medicine CurrentSince Jan 1, 1999 Accepting new patients
Lake Cumberland Physician Practices LLC CurrentSince Aug 1, 2020 Accepting new patients
Lake Cumberland Physician Practices, LLC Current Accepting new patients
Lake Cumberland Regional Hospital LLC CurrentSince Jan 1, 1999 Accepting new patients
Lake Cumberland Regional Hospital LLC Family Medicine Current Accepting new patients
Lake Cumberland Surgery Center LP Past Accepting new patients
Lake Cumberland Physician Practices LLC Past Accepting new patients

Locations

353 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 451-3820

353 Bogle St
Ste C
Somerset, KY 42503
Phone (606) 678-2220

350 Hospital Way
Ste 201
Somerset, KY 42503

350 Hospital Way
Somerset, KY 42503
Phone (606) 451-2600

163 Tower Cir
Somerset, KY 42503
Phone (606) 676-0786

350 Hospital Way
Ste 100
Somerset, KY 42503
Phone (606) 451-2600

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: patrick.jenkins.1@21269.direct.athenahealth.com
  • FHIR API: https://97465a19-0dc7-4ef3-9aea-f72e472d3305.gastro.prod.fhir.ema-api.com/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

Organizations & group practices 7

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 2

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1417921883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 100",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-451-2650",
            "fax_number": "606-451-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 100",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-451-2650",
            "fax_number": "606-451-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "PATRICK",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "26610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUMBERLAND HEALTHCARE",
            "identifier": "C92453",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64266109",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000054074",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5686144",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5125850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "0088056",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.