Individual provider Active NPI

Christian Jenski, M.D.

  • Emergency Medicine Physician
  • Midlothian, VA
National Provider Identifier
1659482677
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101252911 Issued in VA
Practice address
13911 St. Francis Blvd
#101
Midlothian, VA 23114
Phone
(804) 221-4506
Fax
(804) 423-9929
NPI assigned
Aug 31, 2006
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-115690 IL
Emergency Medicine Physician 207P00000X 0101252911 VA Primary

Addresses

Primary practice location

13911 St. Francis Blvd
#101
Midlothian, VA 23114

Mailing address

13911 St. Francis Blvd
#101
Midlothian, VA 23114
Phone (804) 221-4506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20130201000000 VA Practitioner - Family PracticePractitioner - Emergency Medicine 8224035969 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Integrative and Functional MedicineGroup PAC ID 7113302399, 2 clinicians

Practice addresses (Care Compare)

1 Park W Cir
Suite 301
Midlothian, VA 23114-4518
Phone (804) 893-3920

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115690ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Tidewater Emergency Medicine CurrentSince Dec 12, 2017 Accepting new patients
Family Practice Associates of Chesterfield PC CurrentSince Oct 1, 2018 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Richmond Integrative and Functional Medicine CurrentSince Sep 1, 2022 Accepting new patients

Locations

1 Park West Cir
Midlothian, VA 23114
Phone (703) 400-4152

1 Park West Cir
Ste 301
Midlothian, VA 23114
Phone (804) 893-3920

13911 St Francis Blvd
#101
Midlothian, VA 23114
Phone (804) 320-3999

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

3920 Bridge Rd
Suffolk, VA 23435
Phone (757) 983-0000

Interoperability endpoints

  • Direct secure messaging: christian.jenski@436878482276356.direct.elationemr.com

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1659482677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 ST. FRANCIS BLVD",
            "address_2": "#101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23114",
            "telephone_number": "804-221-4506",
            "fax_number": "804-423-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 ST. FRANCIS BLVD",
            "address_2": "#101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23114",
            "telephone_number": "804-221-4506",
            "fax_number": "804-423-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSKI",
        "first_name": "CHRISTIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-115690",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101252911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.