Active NPI
Patrick James Jenkinson, DO, MBA, MS
- Internal Medicine Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101028418
- Practice address
- 330 E Beltline Ave NE
Grand Rapids, MI 49506-1267 - Phone
- (616) 752-6235
- NPI assigned
- May 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101028418 | MI | Primary |
Addresses
Primary practice location
330 E Beltline Ave NE
Grand Rapids, MI 49506-1267
Mailing address
330 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1267
Phone (616) 752-6235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5101028418 | Other | MI | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1267
Phone (616) 752-6235
Hospital & facility affiliations
- DaVita Alger Heights Dialysis
- Spectrum Health
- Mercy Health Saint Mary'S
- University of Michigan Health - West
- Spectrum Health United Hospital
- Corewell Health Pennock Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Business Administration, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101028418 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rawm Vascular Access, PLLC | Nephrology | Current | Accepting new patients |
| Renal Associates of West Michigan PC | Nephrology | Current | Accepting new patients |
| Rai Care Centers of Holland, LLC | Past | Accepting new patients |
Locations
330 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 752-6235
330 E Beltline Ave NE
Grand Rapids, MI 49506
Phone (616) 752-6235
649 Hastings Ave
Holland, MI 49423
Phone (616) 392-3263
1540 36th St SW
Wyoming, MI 49509
Phone (616) 532-3072
Interoperability endpoints
- pjenkinson79537@direct.acumenmd.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.
-
- Nephrology Physician
- Grand Rapids, MI
- NPI 1871674200
-
- Nephrology Physician
- Wyoming, MI
- NPI 1710378377
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Holland, MI
- NPI 1649477282
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Grand Rapids, MI
- NPI 1417333725
Dialysis facility
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1871114348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E BELTLINE AVE NE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061267",
"telephone_number": "616-752-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E BELTLINE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061267",
"telephone_number": "616-752-6235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINSON",
"first_name": "PATRICK",
"middle_name": "JAMES",
"credential": "DO, MBA, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-06",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101028418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI",
"identifier": "5101028418",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.