NPIMap

Individual provider Active NPI

Tyrrell Robert Jenkins, M.D.

  • Internal Medicine Physician
  • Westport, CT
National Provider Identifier
1699193219
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
82771 Issued in CT
Practice address
333 Post Rd W Lowr Level
Westport, CT 06880-4754
Phone
(203) 571-3000
Fax
(205) 349-8179
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 82771 CT Primary
Internal Medicine Physician 207R00000X D83164 MD

Addresses

Primary practice location

333 Post Rd W Lowr Level
Westport, CT 06880-4754

Mailing address

333 Post Rd W Lowr Level
Westport, CT 06880-4754
Phone (203) 571-3000

Other names 1

  • Tyrrell Jenkins-Veidenheimer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200709001750 NY Practitioner - Internal Medicine 2860781986 Reassigns benefits to 1 organization
I20251124000880 CT Practitioner - Internal Medicine 2860781986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care of Westport LLCGroup PAC ID 2567731656, 6 clinicians
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

333 Post Rd W
Westport, CT 06880-4754
Phone (203) 571-3000

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82771CTMDInternal Medicine Physician
D83164MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Aug 10, 2020 Accepting new patients
Primary Care of Westport LLC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 10, 2020 Accepting new patients

Locations

333 Post Rd W
Lowr
Westport, CT 06880
Phone (203) 571-3000

333 Post Rd W
Westport, CT 06880
Phone (203) 226-0731

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: tyrrell.jenkins@51273018638340.direct.elationemr.com

Organizations & group practices 3

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 8

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1699193219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 POST RD W LOWR LEVEL",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804754",
            "telephone_number": "203-571-3000",
            "fax_number": "205-349-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 POST RD W LOWR LEVEL",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804754",
            "telephone_number": "203-571-3000",
            "fax_number": "205-349-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TYRRELL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "82771",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D83164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYRRELL",
            "last_name": "JENKINS-VEIDENHEIMER",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.