Individual provider Active NPI

Taryll Lamont Jenkins, M.D.

  • Obstetrics & Gynecology Physician
  • Katy, TX
National Provider Identifier
1760417729
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M4208 Issued in TX
Practice address
23535 Kingsland Blvd
Katy, TX 77494-3962
Phone
(281) 347-2600
NPI assigned
Jul 11, 2006
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M4208 TX Primary

Addresses

Primary practice location

23535 Kingsland Blvd
Katy, TX 77494-3962

Mailing address

23535 Kingsland Blvd
Katy, TX 77494-3962
Phone (281) 347-2600

Other practice location 1

21769 Merchants Way
Katy, TX 77449-2511
Phone (281) 347-2600

Other identifiers 3

IdentifierTypeStateIssuer
180539201MedicaidTX
10074714OtherTXAMERIGROUP
0067NSOtherTXBLUE CROSS BLUE SHIELD TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20061027000207 TX Practitioner - Obstetrics/Gynecology 1557368966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T.L. Jenkins M.D., P.a.Group PAC ID 5193722502, 5 clinicians

Practice addresses (Care Compare)

23535 Kingsland Blvd
Katy, TX 77494-3962
Phone (281) 347-2600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
T.L. Jenkins M.D., P.a. Obstetrics & Gynecology CurrentSince Jul 12, 2006 Accepting new patients
Imperial Digestive Health Specialists PLLC PastSince Aug 24, 2019 Accepting new patients

Locations

21769 Merchants Way
Katy, TX 77449
Phone (281) 347-2600

23535 Kingsland Blvd
Katy, TX 77494
Phone (281) 347-2600

Interoperability endpoints

  • Direct secure messaging: tjenkins27367@directhoustonmethodist.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGGJBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1760417729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23535 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943962",
            "telephone_number": "281-347-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23535 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943962",
            "telephone_number": "281-347-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21769 Merchants Way",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774492511",
            "country_code": "US",
            "telephone_number": "281-347-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TARYLL",
        "middle_name": "LAMONT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M4208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180539201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10074714",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0067NS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.