Active NPI
Emily N Prendergast, MD
- Gynecologic Oncology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 61704
- Practice address
- 910 E 26TH St Ste 100
Minneapolis, MN 55404-4552 - Phone
- (612) 884-6300
- Fax
- (612) 884-6363
- NPI assigned
- Jun 23, 2010
- Last updated
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 61704 | MN | |
| Obstetrics & Gynecology Physician | 207V00000X | A128699 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 125-057-984 | IL | |
| Gynecologic Oncology Physician | 207VX0201X | 61704 | MN | Primary |
Addresses
Primary practice location
910 E 26TH St Ste 100
Minneapolis, MN 55404-4552
Mailing address
2550 University Ave W Ste 110N
Saint Paul, MN 55114-2001
Phone (651) 602-5311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eprendergast634994@direct.med.utah.edu | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MN, UT
- 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
- Obstetrics/Gynecology
- Education
- University of Arizona College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.61 of 100
- Quality
- 93.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 45.48
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
| Removal of the uterus | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A128699 | CA | MD | Obstetrics & Gynecology Physician |
| 125-057-984 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| University of Utah Specialty Services | Current | Accepting new patients | |
| University of Utah Specialty Services | Obstetrics & Gynecology | Current | Accepting new patients |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| University of Utah Specialty Services | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Gynecologic Oncology | Current | Accepting new patients |
| Minnesota Oncology Hematology, PA | Gynecologic Oncology | Current | Accepting new patients |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Minnesota Oncology Hematology PA | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Gynecologic Oncology | Past | Accepting new patients |
| Minnesota Oncology Hematology, PA | Past | Accepting new patients |
Locations
127 S San Vicente Blvd
Fl 7
Los Angeles, CA 90048
Phone (310) 423-6746
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
1175 Paysphere Cir
Chicago, IL 60674
675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516
110105 Pioneer Trl W
Ste 302
Chaska, MN 55318
Phone (952) 361-5800
11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100
480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620
6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900
910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300
910 E 26th St
Ste 200
Minneapolis, MN 55404
Phone (612) 884-6300
2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440
1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480
2550 University Ave W
Ste 110
Saint Paul, MN 55114
Phone (651) 602-5311
2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309
310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500
345 Sherman St
Ste 100
Saint Paul, MN 55102
Phone (651) 241-5525
560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006
6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
50 N Medical Dr
#U
Salt Lake Cty, UT 84132
Phone (801) 581-4314
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- emily.prendergast@moh.ikm.direct-ci.com
Organizations & group practices 16
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.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1528035995
Gynecologic Oncology
-
dba County of Los Angeles Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1043614811
-
dba MN Cancer Care Pharmacy
- Community/Retail Pharmacy
- Maple Grove, MN
- NPI 1811601123
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1609911205
Gynecologic Oncology
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
dba Los Angeles County Olive View-UCLA Medical Center
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
-
dba Rose Canyon Clinic
- Family Medicine Physician
- Riverton, UT
- NPI 1407116742
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1780995803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 UNIVERSITY AVE W STE 110N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551142001",
"telephone_number": "651-602-5311",
"fax_number": "651-222-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E 26TH ST STE 100",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044552",
"telephone_number": "612-884-6300",
"fax_number": "612-884-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENDERGAST",
"first_name": "EMILY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "61704",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A128699",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "125-057-984",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MN",
"license": "61704",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eprendergast634994@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minneapolis, MN
- Premier Home Healthcare LLC
- Premier Wellness Inc
- Premise Health of Tennessee Medical PC (Ameriprise Health Services)
- Premium Health Care Inc.
- Naveen Premnath, M.D
- Katy Lynn Prenevost, DPT
- Paul Prenevost, PHARMD
- Chad David Prescher
- Prescient, LLC (Calhoun Natural Medicine)
- Prescient, LLC (Medical Massage Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.