WILLIAM EVAN JENKINS MD
NPI 1629719844
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Q: What is William Jenkins's NPI number?

The NPI number for William Jenkins is 1629719844. It was assigned to this individual provider in the NPPES registry on April 3, 2022.

Q: What is William Jenkins's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Jenkins was last updated on June 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2022PECOS Enrolled

462 GRIDER ST, BUFFALO, NY 14215(716) 898-4578(716) 898-3279 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2025, Apr 25, 2022 (2 updates tracked since 2022).

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About William Evan Jenkins Md NPPES

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

WILLIAM EVAN JENKINS MD (NPI 1629719844) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1629719844

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameWILLIAM EVAN JENKINSCredential: MD

Location Address462 GRIDER STBuffalo, NY 14215-3021

Mailing Address462 Grider StBuffalo, NY 14215-3021 · (716) 898-4578 · Fax (716) 898-3279

Phone(716) 898-4578

Fax(716) 898-3279

Sole ProprietorNo

Enumeration DateApril 3, 2022

Last NPPES UpdateJune 20, 20252 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1629719844 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.

462 GRIDER ST, Buffalo, NY 14215

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Secondary Practice Location 1

Location 14940 Eastern AveBaltimore, MD 21224-2735 · Phone (410) 550-0100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Evan 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.

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