Active NPI
James S Pendergraft IV, MD
- Obstetrics & Gynecology Physician
- Orlando, FL
National Provider Identifier
1194956318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME5907
- Practice address
- 1103 Lucerne Ter
Orlando, FL 32806-1016 - Phone
- (407) 245-7999
- Fax
- (407) 650-9456
- NPI assigned
- Aug 5, 2009
- Last updated
- Aug 5, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME5907 | FL | Primary |
Addresses
Primary practice location
1103 Lucerne Ter
Orlando, FL 32806-1016
Mailing address
1103 Lucerne Ter
Orlando, FL 32806-1016
Phone (407) 245-7999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME5907 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute of Women's Health of North America | Past | Accepting new patients | |
| Orlando Women Center LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Womens Center of Hyde Park LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Orlando, FL
- NPI 1750510087
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1861621195
-
- Clinic/Center
- Tampa, FL
- NPI 1417180795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249430400000",
"number": "1194956318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 LUCERNE TER",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061016",
"telephone_number": "407-245-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 LUCERNE TER",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061016",
"telephone_number": "407-245-7999",
"fax_number": "407-650-9456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDERGRAFT",
"first_name": "JAMES",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-05",
"last_updated": "2009-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME5907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.