Individual provider Active NPI

Patrick James Jenkinson, DO, MBA, MS

  • Internal Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1871114348
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101028418 Issued in MI
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

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5101028418OtherMIMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606003432 MI Practitioner - Internal MedicinePractitioner - Nephrology 6800306036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Associates of West Michigan PCGroup PAC ID 2466348644, 20 clinicians

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 Dialysis facility, Grand Rapids, MI, CCN 232714
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059
  • University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236
  • Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035
  • Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
5101028418MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rawm Vascular Access, PLLC Nephrology CurrentSince May 15, 2025 Accepting new patients
Renal Associates of West Michigan PC Nephrology CurrentSince May 15, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.