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DR. PHILLIP MICHAEL JENKINS DO, MS
NPI 1336884683
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 02, 2022PECOS Enrolled
6071 W OUTER DR, DETROIT, MI 48235(313) 966-1003(313) 966-1738 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Phillip Michael Jenkins Do, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP MICHAEL JENKINS DO, MS (NPI 1336884683) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336884683
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PHILLIP MICHAEL JENKINSCredential: DO, MS
Location Address6071 W OUTER DRDetroit, MI 48235-2624
Mailing Address4808 Edgewater CtHolly, MI 48442-9335 · (720) 425-3469
Phone(313) 966-1003
Fax(313) 966-1738
Sole ProprietorNo
Enumeration DateMay 2, 2022
Last NPPES UpdateMay 5, 2022
NPPES CertifiedMay 5, 2022
✔ NPI 1336884683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6071 W OUTER DR, Detroit, MI 48235
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phillip Michael Jenkins Do, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LILIA POPADIUK P.A.
Physician Assistant
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 993-0200
WALEED OBAID M.D
Internal Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3250
JAY KINARIWALA
Psychiatry & Neurology (Neurocritical Care)
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-1389
MULUKA TAHIR OMAR DO
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
NICKLAS BARA MD
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
DR. ROBERT T MALINOWSKI M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
ZAKLINA DENDOOVEN CRNA
Nurse Anesthetist, Certified Registered
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (952) 442-9770
DR. MATTHEW J GRIFFIN M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Jenkins's NPI number?

The NPI number for Phillip Jenkins is 1336884683. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Phillip Jenkins located?

Phillip Jenkins practices at 6071 W Outer Dr, Detroit, MI 48235. The listed phone number is (313) 966-1003.

What is Phillip Jenkins's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Phillip Jenkins enrolled in Medicare?

Yes. Phillip Jenkins is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Jenkins was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.