David L Pendleton, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0348 Issued in NH

Practice address

769 S Main St
Suite 300
Manchester, NH 03102-5166

Phone

(603) 625-6198

NPI assigned

Jun 10, 2006

Last updated

Oct 29, 2020By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NH, DC, NC3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Usacs Integrated Acute Care Services of North Carolina, PLLCGroup PAC ID 2365813722, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
• Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Usacs Integrated Acute Care Services of North Carolina, PLLC

  • Internal Medicine Physician
  • Elizabeth City, NC
  • NPI 1437869302
  Medicare reassignment Care Compare group NPD
• Catholic Medical Center

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1265487755
  Medicare reassignment NPD
• Catholic Medical Center

  • Family Medicine Physician
  • Bedford, NH
  • NPI 1972559904
  Medicare reassignment
• Emergency Medicine Physicians of Rockingham County, LLC

  • Emergency Medicine Physician
  • Exeter, NH
  • NPI 1174956668
  Medicare reassignment
• Usacs Integrated Acute Care Services of Maryland, LLC

  • Internal Medicine Physician
  • Elkton, MD
  • NPI 1922598929

  DC

  Medicare reassignment
• Catholic Medical Center

  dba Manchester Anesthesia Associates

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1003692112
  NPD
• CMC D/B/a Urgent Care at Bedford Medical Park

  • Urgent Care Clinic/Center
  • Bedford, NH
  • NPI 1134410319
  NPD
• Emergency Medicine Physicians of Mecklenburg County, PLLC

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1912232182
  NPD
• Catholic Medical Center Physician Practice Associates

  dba Granite State Internal Medicine

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1780862912
  NPD (past)
• Catholic Medical Center Ppa

  dba New England Heart Institute

  • Cardiovascular Disease Physician
  • Manchester, NH
  • NPI 1891738696
  NPD (past)

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

• Sentara Albemarle Regional Medical Center

  dba Sentara Albemarle Medical Center

  • General Acute Care Hospital
  • Elizabeth City, NC
  • NPI 1245211168
  Care Compare affiliation
• Sentara Hospitals

  dba Sentara Virginia Beach General Hospital

  • General Acute Care Hospital
  • Virginia Beach, VA
  • NPI 1629038336
  Care Compare affiliation

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1346281169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TUTTLE RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 S MAIN ST",
            "address_2": "SUITE 300",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025166",
            "telephone_number": "603-625-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "0348",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_qcma@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "769 S Main St",
            "address_2": "Suite 300",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031025166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maeghan M Pelletier, BA
• Samantha Pelletier, BA
• Lisa Pelunis-Messier, PHARMD
• Marina Pena, LICSW
• Paul Michael Pender, MD
• Patricia Pendoley, LCMHC
• Emily Pennington
• Joseph Pepe, MD
• Amy Lyn Daniels Pepin, LICSW
• Courtney Analie Pereira Neto, RDH

• Medical Physician Assistant in Manchester, NH
• Providers in Manchester, NH by specialty
• Medical Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.

Verify at the official NPI Registry.