Active NPI
Alan D. Jenkins, M.D.
- Urology Physician
- Charlottesville, VA
National Provider Identifier
1669517157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101028907
- Practice address
- Uva Hospital W
Hospital Drive
Charlottesville, VA 22908-0001 - Phone
- (434) 924-2224
- Fax
- (434) 982-3652
- NPI assigned
- Feb 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101028907 | VA | Primary |
Addresses
Primary practice location
Uva Hospital W
Hospital Drive
Charlottesville, VA 22908-0001
Mailing address
500 Ray C Hunt Dr
Charlottesville, VA 22903-2981
Phone (434) 980-6140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007546777 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101028907 | VA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669517157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 RAY C HUNT DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229032981",
"telephone_number": "434-980-6140",
"fax_number": "434-972-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UVA HOSPITAL W",
"address_2": "HOSPITAL DRIVE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080001",
"telephone_number": "434-924-2224",
"fax_number": "434-982-3652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "ALAN",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101028907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007546777",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.