Michael J Pendleton, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L4091 Issued in TX

Practice address

4210 Weber Rd Ste 2
Corpus Christi, TX 78411-3666

Phone

(361) 225-0719

Fax

(361) 225-0705

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1134280779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 WEBER RD STE 2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113666",
            "telephone_number": "361-225-0719",
            "fax_number": "361-225-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 WEBER RD STE 2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113666",
            "telephone_number": "361-225-0719",
            "fax_number": "361-225-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0013MT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Pena
• Kristina Pena, LVN
• Shelby Pena
• Stefanie L Pena, RN
• Juan J Penaflor
• Brent Lee Pennington, M.D.
• Dante M. Pepito, M.D.
• Adriel Perales, CFNP
• Marisella G. Perales, MSN, RN, AGCNS-BC
• Ruben Gonzales Perales, R.D., L.D., C.N.S.D.

• Internal Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.