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

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: August 02, 2026.

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.Insurance ›

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. 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 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
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

What insurance does Randall Jenkins accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan 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.