Active NPI
Inna Pendrak, D.O.
- Family Medicine Physician
- Horsham, PA
National Provider Identifier
1871812875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS007462L
- Practice address
- 100 Tournament Dr
Horsham, PA 19044-3602 - Phone
- (215) 325-7671
- NPI assigned
- May 31, 2010
- Last updated
- May 31, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS007462L | PA | Primary |
Addresses
Primary practice location
100 Tournament Dr
Horsham, PA 19044-3602
Mailing address
100 Tournament Dr
Horsham, PA 19044-3602
Phone (215) 325-7671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS007462L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lansdale Hospital Corporation | Past | Accepting new patients | |
| Green and Seidner Family Practice Associates PC | Family Medicine | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lansdale, PA
- NPI 1962420935
-
dba Lansdale Nutritionists
- Registered Dietitian
- Lansdale, PA
- NPI 1922462670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275264000000",
"number": "1871812875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TOURNAMENT DR",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190443602",
"telephone_number": "215-325-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TOURNAMENT DR",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190443602",
"telephone_number": "215-325-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDRAK",
"first_name": "INNA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-31",
"last_updated": "2010-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS007462L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horsham, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.