Individual provider Active NPI

Sarah Leeann Pendziszewski

  • Audiologist
  • Kalamazoo, MI
National Provider Identifier
1043018708
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601001131 Issued in MI
Practice address
2889 S 11TH St
Kalamazoo, MI 49009-2123
Phone
(269) 343-1296
Fax
(269) 344-8485
NPI assigned
Mar 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601001131 MI Primary

Addresses

Primary practice location

2889 S 11TH St
Kalamazoo, MI 49009-2123

Mailing address

10179 Woodlawn Dr
Portage, MI 49002-7223
Phone (269) 615-5815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417000448 MI Practitioner - Qualified Audiologist 3274058789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Health PCGroup PAC ID 1658283007, 52 clinicians

Practice addresses (Care Compare)

2889 S 11TH St
Kalamazoo, MI 49009-2123
Phone (269) 343-1296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601001131MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Health, PC Current Accepting new patients

Locations

2889 S 11th St
Kalamazoo, MI 49009
Phone (269) 343-1247

1052 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1684

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1043018708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10179 WOODLAWN DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490027223",
            "telephone_number": "269-615-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 S 11TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092123",
            "telephone_number": "269-343-1296",
            "fax_number": "269-344-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDZISZEWSKI",
        "first_name": "SARAH",
        "middle_name": "LEEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601001131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.