NPI age
20 years
Enumerated 2006-04-27
● Active
Type 1 · Individual
DR. Randall D. Jenkins, MD
Jenkins is 1 of 4 pediatrics providers in Boise and 1 of 4 in Idaho.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-01-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4 active pediatrics providers in Idaho.
NPI age
20 years
↑ 1 yr above median (18 yr)
State licenses
2 states
Top 50% — 50% of peers are multi-state
Subspecialties
0
50% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Practice location
100 E Idaho St, Suite 304
Boise, ID 83712
Mailing address
190 E Bannock St
Boise, ID 837126241
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 00340150 | |
| 05 (OR) | 270819 | |
| 05 (WA) | 8518003 | |
| 05 (CA) | XPY 190107 | |
| 05 (AL) | MD7720R |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 186 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.