Active NPI
Kenneth Roy Pendergrast, M.D.
- Internal Medicine Physician
- Christiansburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-45914
- Practice address
- 2900 Lamb Cir
Christiansburg, VA 24073-6344 - Phone
- (540) 731-2000
- Fax
- (540) 731-2659
- NPI assigned
- Feb 8, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 04-45914 | KS | |
| Internal Medicine Physician | 207R00000X | 2022-01804 | NC | |
| Internal Medicine Physician | 207R00000X | 04-45914 | KS | Primary |
| Internal Medicine Physician | 207R00000X | 0101042805 | VA | |
| Hospitalist Physician | 208M00000X | 0101042805 | VA |
Addresses
Primary practice location
2900 Lamb Cir
Christiansburg, VA 24073-6344
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Other practice location 1
2155 Apperson Dr
Salem, VA 24153-7235
Phone (540) 444-2010
Other practice location 2
501 S Poplar St
Elizabethtown, NC 28337-9375
Phone (910) 862-5100
Other practice location 3
210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000
Other practice location 4
2800 Godwin Blvd Fl 1
Suffolk, VA 23434-8038
Phone (757) 934-4821
Other practice location 5
1900 Electric Rd
Salem, VA 24153-7494
Phone (540) 776-4000
Other practice location 6
2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone (540) 994-8100
Other practice location 7
2460 Lee Hwy N
Pulaski, VA 24301-2335
Phone (540) 980-8804
Other practice location 8
401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2222
Other practice location 9
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6036732 | Medicaid | VA | |
| 1255304697 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, KS, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8000
2900 Lamb Cir
Christiansburg, VA 24073-6341
2900 Lamb Cir
Christiansburg, VA 24073-6344
2900 Lamb Cir
Christiansburg, VA 24073-6345
2900 Lamb CR
Suite 7 700B
Christiansburg, VA 24073-6344
Phone (540) 731-7450
425 N Belmont Ave
Wichita, KS 67208-3810
Phone 3165007549700
618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 443-3311
6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101042805 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of North Carolina - Rocky Mount | Internal Medicine | Current | Accepting new patients |
| Lake Spring Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Bladen Healthcare LLC | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Apogee Medical Group North Carolina | Hospitalist | Current | Accepting new patients |
| William Newton Memorial Hospital | Current | Accepting new patients | |
| MCV Associated Physicians | Current | Accepting new patients | |
| Bladen Healthcare, LLC | Hospitalist | Current | Accepting new patients |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Bladen Healthcare LLC | Current | Accepting new patients | |
| Vigilias LLC | Internal Medicine | Current | Accepting new patients |
| Kingsford Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Cumberland County Hospital System Inc | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of North Carolina, PC | Internal Medicine | Current | Accepting new patients |
| William Newton Memorial Hospital | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Sound Physicians of North Carolina, PLLC | Internal Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of North Carolina, PLLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Commonspirit Kansas, Inc. | Past | Accepting new patients |
Locations
401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222
20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800
3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426
1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114
2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311
Interoperability endpoints
- ken.pendergrast@hca6.eclinicaldirectplus.com
- kpendergrast113401@capefearvalley.direct-ci.com
- kenneth.pendergrast.1@18308.direct.athenahealth.com
Organizations & group practices 22
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Internal Medicine Physician
- Wichita, KS
- NPI 1407242241
-
- Hospitalist Physician
- Pulaski, VA
- NPI 1871088526
-
- Hospitalist Physician
- Salem, VA
- NPI 1568954287
-
- Critical Access Hospital
- Elizabethtown, NC
- NPI 1558537282
-
- Internal Medicine Physician
- Rocky Mount, NC
- NPI 1548207483
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
KS
-
- Hospitalist Physician
- Elizabeth City, NC
- NPI 1346661493
Internal Medicine
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospitalist Physician
- Pearisburg, VA
- NPI 1023663267
-
- Emergency Medicine Physician
- Pearisburg, VA
- NPI 1164076634
Hospital
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Multi-Specialty Clinic/Center
- Pearisburg, VA
- NPI 1346894813
Hospital
-
- General Acute Care Hospital
- Christiansburg, VA
- NPI 1376536573
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
-
- General Acute Care Hospital
- Garden City, KS
- NPI 1659360196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1255304697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 LAMB CIR",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736344",
"telephone_number": "540-731-2000",
"fax_number": "540-731-2659"
}
],
"practiceLocations": [
{
"address_1": "2155 Apperson Dr",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "VA",
"postal_code": "241537235",
"country_code": "US",
"telephone_number": "540-444-2010",
"fax_number": "540-444-2019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 S Poplar St",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "NC",
"postal_code": "283379375",
"country_code": "US",
"telephone_number": "910-862-5100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Medical Pavilion Dr",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283769111",
"country_code": "US",
"telephone_number": "910-904-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2800 Godwin Blvd Fl 1",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234348038",
"country_code": "US",
"telephone_number": "757-934-4821",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Electric Rd",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "VA",
"postal_code": "241537494",
"country_code": "US",
"telephone_number": "540-776-4000",
"fax_number": "540-776-4196",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Lee Hwy N",
"address_purpose": "LOCATION",
"city": "Pulaski",
"state": "VA",
"postal_code": "243012326",
"country_code": "US",
"telephone_number": "540-994-8100",
"fax_number": "540-994-8494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2460 Lee Hwy N",
"address_purpose": "LOCATION",
"city": "Pulaski",
"state": "VA",
"postal_code": "243012335",
"country_code": "US",
"telephone_number": "540-980-8804",
"fax_number": "540-980-8161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 E Spruce St",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "KS",
"postal_code": "678465679",
"country_code": "US",
"telephone_number": "620-272-2222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-5680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENDERGRAST",
"first_name": "KENNETH",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KS",
"license": "04-45914",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2022-01804",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-45914",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101042805",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101042805",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6036732",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255304697",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.
- 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.