Active NPI
Gregory T Jenkins, M.D.
- Anesthesiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01069231A
- Practice address
- 1120 South Dr
FH 204
Indianapolis, IN 46202-5135 - Phone
- (317) 274-0274
- Fax
- (317) 274-0256
- NPI assigned
- Jun 11, 2008
- Last updated
- Nov 18, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IN | ||
| Anesthesiology Physician | 207L00000X | 01069231A | IN | Primary |
Addresses
Primary practice location
1120 South Dr
FH 204
Indianapolis, IN 46202-5135
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | GJENKINS@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Indiana University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 528-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069231A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Anesthesiologists, Inc. | Anesthesiology | Current | Accepting new patients |
| Iu Anesthesiology Associates, LLC | Anesthesiology | Current | Accepting new patients |
Locations
1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076
8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1130 W Michigan St
#204
Indianapolis, IN 46202
Phone (317) 274-0076
Interoperability endpoints
- gjenkins@direct.iuhealth.org
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1548210685
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1285684407
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Indianapolis Orthopedic Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
dba Franciscan Health - Indianapolis
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1639339740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 SOUTH DR",
"address_2": "FH 204",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025135",
"telephone_number": "317-274-0274",
"fax_number": "317-274-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "GREGORY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01069231A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "GJENKINS@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1120 South Dr",
"address_2": "FH 204",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.