Active NPI
Neal J Prendergast Jr., MD
- Urology Physician
- Jeffersonville, IN
National Provider Identifier
1841287489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 32911
- Practice address
- 101 Hospital Blvd
Jeffersonville, IN 47130-3769 - Phone
- (812) 282-3899
- Fax
- (812) 282-4172
- NPI assigned
- Sep 29, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 32911 | KY | Primary |
| Urology Physician | 208800000X | 01069486A | IN |
Addresses
Primary practice location
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Mailing address
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10805597 | Other | CAQH PROVIDER ID | |
| P00314098 | Other | KY | RAILROAD MEDICARE |
| 201028550 | Medicaid | IN | |
| P00895260 | Other | KY | RAILROAD MEDICARE |
| 64329113 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Duke University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899
3 Audubon Plaza Dr
L10
Louisville, KY 40217-1362
Phone (502) 584-0651
300 High Point CT
Mount Washington, KY 40047-6560
Phone (502) 955-6129
3920 S Dupont SQ C
Louisville, KY 40207-4615
Phone (812) 282-3899
5120 Dixie Hwy
Suite 105
Louisville, KY 40216-1775
Phone (812) 282-3899
515 Hospital Dr
Suite 3
Shelbyville, KY 40065-1619
Phone (502) 633-2661
Hospital & facility affiliations
- Norton Hospitals, Inc
- Baptist Health Louisville
- Baptist Health Hardin
- Uofl Health - Shelbyville Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069486A | IN | MD | Urology Physician |
| 32911 | KY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Urology, PSC | Urology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urology Physician
- Corydon, IN
- NPI 1235496415
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1841287489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HOSPITAL BLVD",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303769",
"telephone_number": "812-282-3899",
"fax_number": "812-282-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOSPITAL BLVD",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303769",
"telephone_number": "812-282-3899",
"fax_number": "812-282-4172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENDERGAST",
"first_name": "NEAL",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KY",
"license": "32911",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01069486A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "10805597",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00314098",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201028550",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00895260",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64329113",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.