THOMAS E. PENDERGRAST M.D. – NPI #1548680366
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

THOMAS PENDERGRAST is a radiologist located in RALEIGH, NC. NPPES has assigned the NPI number 1548680366 to THOMAS PENDERGRAST on April 19, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 3 years ago on Apr 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THOMAS PENDERGRAST below.

NPI Profile for
THOMAS E. PENDERGRAST

NPI Number
1548680366
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THOMAS E. PENDERGRAST
Credentials
M.D.
Primary location
3200 BLUE RIDGE RD STE 100
RALEIGH, NC 27612-8087
Phone: (919) 256-3576 Fax:
1 Other location(s):
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone: (434) 200-5047
Fax: (434) 200-6490
Mailing address
5220 GREENS DAIRY RD
RALEIGH, NC 27616-4612
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 VA 0101271086

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE - Graduated 2014
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
THOMAS PENDERGRAST is affiliated with the following medical group(s):
  • HOSPITAL
    • SOVAH HEALTH MARTINSVILLE
      142 SOUTH MAIN STREET
      DANVILLE, VA 24541
    • TWIN COUNTY REGIONAL HOSPITAL
      200 HOSPITAL DRIVE
      GALAX, VA 24333
    • WAKEMED, RALEIGH CAMPUS
      3000 NEW BERN AVE
      RALEIGH, NC 27610
    • WILSON MEDICAL CENTER
      1705 S TARBORO ST
      WILSON, NC 27893
    • WYTHE COUNTY COMMUNITY HOSPITAL
      600 WEST RIDGE ROAD
      WYTHEVILLE, VA 24382

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