Individual provider Active NPI

Kenneth Roy Pendergrast, M.D.

  • Internal Medicine Physician
  • Christiansburg, VA
National Provider Identifier
1255304697
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-45914 Issued in KS
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

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6036732MedicaidVA
1255304697MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, KS, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100806000387 VA Practitioner - Internal MedicinePractitioner - Hospitalist 7719073410 Reassigns benefits to 4 organizations
I20220421001390 KS Practitioner - Internal MedicinePractitioner - Hospitalist 7719073410 Reassigns benefits to 5 organizations
I20220927001617 NC Practitioner - Internal Medicine 7719073410 Reassigns benefits to 6 organizations

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
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Vigilias LLCGroup PAC ID 9133433279, 49 clinicians
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

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

LicenseStateTypeSpecialty
0101042805VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of North Carolina - Rocky Mount Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Lake Spring Physician Services, LLC Hospitalist CurrentSince Jul 1, 2018 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Carilion Healthcare Corporation CurrentSince Mar 4, 2026 Accepting new patients
Apogee Medical Group North Carolina Hospitalist CurrentSince Dec 1, 2023 Accepting new patients
William Newton Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
MCV Associated Physicians CurrentSince Dec 1, 2024 Accepting new patients
Bladen Healthcare, LLC Hospitalist CurrentSince Nov 20, 2024 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Bladen Healthcare LLC CurrentSince Nov 20, 2024 Accepting new patients
Vigilias LLC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Kingsford Physician Services, LLC Hospitalist CurrentSince Jul 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Mar 7, 2022 Accepting new patients
Cumberland County Hospital System Inc Internal Medicine CurrentSince May 2, 2023 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
William Newton Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 2, 2023 Accepting new patients
Sound Physicians of North Carolina, PLLC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Usacs Integrated Acute Care Services of North Carolina, PLLC Internal Medicine CurrentSince Apr 18, 2023 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Mar 7, 2022 Accepting new patients
Carilion Healthcare Corporation CurrentSince Mar 4, 2026 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

  • Direct secure messaging: ken.pendergrast@hca6.eclinicaldirectplus.com
  • Direct secure messaging: kpendergrast113401@capefearvalley.direct-ci.com
  • Direct secure messaging: 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.

View all 22

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.