Individual provider Active NPI

Dorothy S Jenkins, MD

  • Internal Medicine Physician
  • Media, PA
National Provider Identifier
1518027192
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD042357E Issued in PA
Practice address
1098 W Baltimore Pike
Suite 3101
Media, PA 19063-5139
Phone
(610) 891-9277
Fax
(610) 891-7778
NPI assigned
Dec 12, 2006
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD042357E PA Primary

Addresses

Primary practice location

1098 W Baltimore Pike
Suite 3101
Media, PA 19063-5139

Mailing address

330 Cornell Ave
Swarthmore, PA 19081-1902
Phone (610) 544-2625

Other identifiers 1

IdentifierTypeStateIssuer
001226666MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100330000705 PA Practitioner - Internal Medicine 2365578226 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Prospect Health Access Network, Inc. Internal Medicine Current Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients
Health Access Network Past Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 300
Chester, PA 19013
Phone (610) 619-8500

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1098 W Baltimore Pike
Ste 3101
Media, PA 19063
Phone (610) 891-9277

200 E State St
Ste 100
Media, PA 19063
Phone (610) 619-7475

5201 Pennell Rd
Media, PA 19063
Phone (610) 874-9710

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Interoperability endpoints

  • Direct secure messaging: dorothy.jenkins@chpm.cernerdirect.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1518027192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORNELL AVE",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811902",
            "telephone_number": "610-544-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3101",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-891-9277",
            "fax_number": "610-891-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DOROTHY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD042357E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001226666",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.