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DAHLIA A SAAD PENDERGRASS M.D.
NPI 1104801745
Psychiatry & Neurology - Psychiatry in Hartford, CT

Active since December 07, 2005Opted out of Medicare · through Jul 28, 2028
80 SEYMOUR STREET, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06102(860) 545-2629 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dahlia A Saad Pendergrass M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAHLIA A SAAD PENDERGRASS M.D. (NPI 1104801745) is an individual psychiatry provider in Hartford, Connecticut, licensed in Connecticut (049137) and active in the NPI registry since December 2005. She has opted out of Medicare through July 28, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104801745
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDAHLIA A SAAD PENDERGRASSCredential: M.D.
Location Address80 SEYMOUR STREET, HARTFORD HOSPITAL PSYCHIATRY DEPTHartford, CT 06102-5037
Mailing AddressPo Box 415933, Hartford Hospital Professional ServicesBoston, MA 02241-5933 · (860) 545-7602
Phone(860) 545-2629
Sole ProprietorNo
Enumeration DateDecember 7, 2005
Last NPPES UpdateOctober 22, 2010
✔ NPI 1104801745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CT · 049137✔ Licensed in MN · 42062
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Psychosomatic MedicineTaxonomy 2084P0015X · License 049137 (CT)
80 SEYMOUR STREET, Hartford, CT 06102
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Other Identifiers 6

Medicare UPINH03115MN
Medicaid358640500MN
Medicare PIN260002788MN
OtherP00003148MN · Medicare Railroad
MedicaidPENDINGCT
Medicare PINPENDING C00814CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dahlia A Saad Pendergrass M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 28, 2022 through July 28, 2028.

Opt-Out Effective DateJuly 28, 2022
Opt-Out In Effect ThroughJuly 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY ANN RICE PA-C
Physician Assistant (Surgical)
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 972-4670
MARY R NOON RD
Dietitian, Registered
80 SEYMOUR STREET, HARTFORD HOSPITAL FOOD & NUTRITION SERVICES
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2604
DR. JASON ZAKKO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
80 SEYMOUR STREET, CARDIAC SURGERY
HARTFORD, CT 06102
Capitol Planning Region (860) 696-5520
DR. ALFRED HERZOG M.D.
Psychiatry & Neurology (Psychiatry)
80 SEYMOUR STREET, HARTFORD HOSPITAL
HARTFORD, CT 06102
Capitol Planning Region (860) 545-3501
NATALIA P. BUKSA PA-C
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5176
KATIE ANN COPPOLA PA
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0000
AVA DALANI GORNEAULT
Student in an Organized Health Care Education/Training Program
80 SEYMOUR STREET
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2700
JEFFREY A CANTIN PA-C
Physician Assistant
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dahlia Saad Pendergrass's NPI number?

The NPI number for Dahlia Saad Pendergrass is 1104801745. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Dahlia Saad Pendergrass located?

Dahlia Saad Pendergrass practices at 80 Seymour Street Hartford Hospital Psychiatry Dept, Hartford, CT 06102. The listed phone number is (860) 545-2629.

What is Dahlia Saad Pendergrass's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Dahlia Saad Pendergrass enrolled in Medicare?

No. Dahlia Saad Pendergrass has opted out of Medicare through July 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dahlia Saad Pendergrass was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.