Roy Daniel Pendergraft, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F9938 Issued in TX

Practice address

13118 Youngfield Dr
Cypress, TX 77429-3813

Phone

(832) 491-3020

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roy.pendergraft.1@15235.direct.athenahealth.com

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.

• Advanced Practice House Calls LLC

  • Nurse Practitioner
  • Houston, TX
  • NPI 1841830445
  Medicare reassignment NPD
• Kingdom House Calls LLC

  dba Kingdom House Calls

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1902597537
  Medicare reassignment NPD
• Advance Pharmacy LLC

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1962771733
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1154430791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13118 YOUNGFIELD DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774293813",
            "telephone_number": "832-491-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13118 YOUNGFIELD DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774293813",
            "telephone_number": "832-491-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGRAFT",
        "first_name": "ROY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karimot Adenike Pedro, NP-C
• Jeanette D Peebles, RBT
• Susana Pena Salazar, SA-C
• Amber M Pena, MD
• Euglis C Pena, ARNP
• Beatriz Thames Pendleton, MD
• Patricia Lynn Penman, BCBA
• Elizabeth Pennington, LPC, RPT, EMDR CERT
• Kiera Rose Percell, M.S. SLP-CF
• Irene Perelman

• Family Medicine Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.