DR. RANDALL D. JENKINS MD
NPI 1619934213
Pediatrics - Pediatric Nephrology in Boise, ID

Q: What is Randall Jenkins's NPI number?

The NPI number for Randall Jenkins is 1619934213. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Randall Jenkins's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for Randall Jenkins was last updated on January 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 27, 2006PECOS Enrolled

97.83/100

CMS Quality Rating

100 E IDAHO ST, SUITE 304, BOISE, ID 83712(208) 381-7336(208) 381-7029 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Randall D. Jenkins Md NPPES

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

DR. RANDALL D. JENKINS MD (NPI 1619934213) is an individual pediatric nephrology provider in Boise, Idaho, licensed in Idaho (M-6953) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619934213

Entity TypeIndividualMale

Primary Taxonomy2080P0210X

Provider Legal NameDR. RANDALL D. JENKINSCredential: MD

Location Address100 E IDAHO ST, SUITE 304Boise, ID 83712

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 706-8449 · Fax (208) 381-7029

Phone(208) 381-7336

Fax(208) 381-7029

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateJanuary 29, 2016

✔ NPI 1619934213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

Licenses✔ Licensed in ID · M-6953✔ Licensed in OR · 12771

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

100 E IDAHO ST, Boise, ID 83712

Open in Google Maps ↗

Other Identifiers 9

Medicare UPINC66003OR

MedicaidXPY 190107CA

Medicare ID-Type Unspecified1138465ID · Id Medicare #

Medicaid00340150ID

Medicaid270819OR

Medicare ID-Type Unspecified00WFBRHAOR · Oregon Medicare Individua

MedicaidMD7720RAL

Medicare PIN20000416ID

Medicaid8518003WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randall D. Jenkins Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Randall Jenkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC

0.1 mi

Family Medicine

190 E BANNOCK ST
Boise, ID 83712

Reassigned Medicare billing, Idaho enrollment
1,312 clinicians in this Medicare group

NPI 1326336058 (208) 381-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.97

Promoting Interoperability

100

Improvement Activities

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.

DR. NATHAN D MEEKER M.D.

Pediatrics (Pediatric Hematology-Oncology)

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 381-2782

MCKAY HERPEL PHARMD

Pharmacist (Oncology)

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 381-3108

DR. FREDERICK K EMGE MD

Pediatrics (Pediatric Cardiology)

100 E IDAHO ST, SUITE 200
BOISE, ID 83712

Ada County (208) 381-7384

DAN S ZUCKERMAN MD

Internal Medicine (Hematology & Oncology)

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 381-2711

MISTY NEISEN

Physician Assistant

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 381-2711

AMY MERCER RD

Dietitian, Registered

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 381-4011

DAVID B BETTIS MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

100 E IDAHO ST, STE 201
BOISE, ID 83712

Ada County (208) 381-5180

VIVIANA BAEZA NUNEZ

Massage Therapist

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 706-5287

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 Randall Jenkins's NPI number?

The NPI number for Randall Jenkins is 1619934213. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Randall Jenkins located?

Randall Jenkins practices at 100 E Idaho St Suite 304, Boise, ID 83712. The listed phone number is (208) 381-7336.

What is Randall Jenkins's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Randall Jenkins enrolled in Medicare?

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

Which organization bills Medicare for Randall Jenkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Jenkins reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randall Jenkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randall Jenkins accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Randall Jenkins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Jenkins was last updated on January 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.