Active NPI
Sarah Leeann Pendziszewski
- Audiologist
- Kalamazoo, MI
National Provider Identifier
1043018708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601001131
- Practice address
- 2889 S 11TH St
Kalamazoo, MI 49009-2123 - Phone
- (269) 343-1296
- Fax
- (269) 344-8485
- NPI assigned
- Mar 6, 2025
- Last updated
- Mar 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Health, PC | Current | Accepting new patients |
Locations
1052 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1684
2889 S 11th St
Kalamazoo, MI 49009
Phone (269) 343-1247
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.