Individual provider Active NPI

Ronald D Jenkins, MD

  • Interventional Cardiology Physician
  • Sandpoint, ID
National Provider Identifier
1992751648
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
M-9227 Issued in ID
Practice address
606 N 3Rd Ave
Suite 203
Sandpoint, ID 83864-1570
Phone
(208) 263-2505
Fax
(208) 263-2908
NPI assigned
May 25, 2006
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X M-9227 ID
Interventional Cardiology Physician 207RI0011X MD00044644 WA
Interventional Cardiology Physician 207RI0011X M-9227 ID Primary

Addresses

Primary practice location

606 N 3Rd Ave
Suite 203
Sandpoint, ID 83864-1570

Mailing address

122 W 7TH Ave
Suite 310
Spokane, WA 99204-2349
Phone (509) 838-7711

Other practice location 1

415 6TH St
Lewiston, ID 83501
Phone (208) 750-7507

Other practice location 2

700 W Ironwood Dr Ste 350
Coeur D Alene, ID 83814-4487
Phone (208) 625-5250

Other practice location 3

423 N Third Ave Ste 355
Sandpoint, ID 83864-1511
Phone (208) 265-7070

Other identifiers 1

IdentifierTypeStateIssuer
807055600MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rjenkins610248@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20041228000199 ID Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4082672811 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Utah School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians
St Joseph Hospital LLCGroup PAC ID 8325325806, 91 clinicians

Practice addresses (Care Compare)

1055 Riverside Ave
Orofino, ID 83544-9029
Phone (208) 476-5777

1300 E Mullan Ave
Suite 1300
Post Falls, ID 83854-6057
Phone (208) 625-5630

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

415 6TH St
Lewiston, ID 83501-2431

423 N 3Rd Ave
Suite 355
Sandpoint, ID 83864-1511
Phone (208) 263-2505

520 N 3Rd Ave
Sandpoint, ID 83864-1507
Phone (208) 265-7111

700 W Ironwood Dr
Suite 320
Coeur D Alene, ID 83814-4485
Phone (208) 625-5250

821 21St Ave
Lewiston, ID 83501-6389
Phone (208) 799-3422

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bonner General Hospital, Inc. CurrentSince Nov 1, 2005 Accepting new patients
Bonner General Hospital Inc. CurrentSince Nov 1, 2005 Accepting new patients
St Joseph Hospital LLC CurrentSince Feb 20, 2019 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC Cardiovascular Disease CurrentSince Jan 22, 2020 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jan 22, 2020 Accepting new patients
Kootenai Health, Inc. CurrentSince Feb 28, 2005 Accepting new patients
Boundary Community Hospital Cardiovascular Disease CurrentSince Oct 1, 2011 Accepting new patients
Boundary Community Hospital CurrentSince Oct 1, 2011 Accepting new patients
Boundary Community Hospital Current Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Boulder Ekg Cardiovascular Disease Past Accepting new patients
Longmont United Hospital Past Accepting new patients
Northwest Cardiac and Vascular Imaging, LLC PastSince Nov 1, 2004 Accepting new patients
Spokane Valley Family Medicine P.S. Past Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

700 W Ironwood Dr
Ste 320
Coeur D Alene, ID 83814
Phone (208) 625-5250

700 W Ironwood Dr
Ste 350
Coeur D Alene, ID 83814
Phone (208) 625-5222

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

423 N Third Ave
Ste 210
Sandpoint, ID 83864
Phone (208) 263-1441

423 N Third Ave
Ste 355
Sandpoint, ID 83864
Phone (208) 263-2505

520 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-0649

606 N Third Ave
Ste 203
Sandpoint, ID 83864
Phone (208) 263-2505

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

Organizations & group practices 19

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.

View all 19

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1992751648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W 7TH AVE",
            "address_2": "SUITE 310",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042349",
            "telephone_number": "509-838-7711",
            "fax_number": "509-747-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 3RD AVE",
            "address_2": "SUITE 203",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641570",
            "telephone_number": "208-263-2505",
            "fax_number": "208-263-2908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 6TH ST",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "83501",
            "country_code": "US",
            "telephone_number": "208-750-7507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Ironwood Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144487",
            "country_code": "US",
            "telephone_number": "208-625-5250",
            "fax_number": "208-625-5251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 N Third Ave Ste 355",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838641511",
            "country_code": "US",
            "telephone_number": "208-265-7070",
            "fax_number": "208-265-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "RONALD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "M-9227",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD00044644",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ID",
            "license": "M-9227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807055600",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjenkins610248@direct.multicare.org",
            "affiliation": "N",
            "address_1": "423 N 3rd Ave Ste 355",
            "city": "Sandpoint",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838641511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.