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THOMAS W PENDERGRASS M.D., M.S.P.H.
NPI 1124109483
Pediatrics - Pediatric Hematology-Oncology in Seattle, WA

Active since October 17, 2006PECOS Enrolled
4800 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-2106(206) 987-5105 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Thomas W Pendergrass M.d., M.s.p.h. NPPES

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

THOMAS W PENDERGRASS M.D., M.S.P.H. (NPI 1124109483) is an individual pediatric hematology-oncology provider in Seattle, Washington, licensed in Washington (MD00014612) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124109483
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameTHOMAS W PENDERGRASSCredential: M.D., M.S.P.H.
Location Address4800 SAND POINT WAY NESeattle, WA 98105
Mailing AddressPo Box 5371, 4800 Sand Point Way NeSeattle, WA 98145-5005 · (206) 987-2106 · Fax (206) 987-5105
Phone(206) 987-2106
Fax(206) 987-5105
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJune 18, 2018
✔ NPI 1124109483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in WA · MD00014612
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License MD00014612 (WA)
4800 SAND POINT WAY NE, Seattle, WA 98105
Open in Google Maps ↗

Other Identifiers 2

Other0826Internal Id-motor Vehicle Id
Medicaid8362105WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas W Pendergrass M.d., M.s.p.h. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

NALINI MALARKKAN MD
Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2728
MS. LINDA E EBLEN MA
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
King County (206) 987-6164
DR. JAMES TOLIVER BENNETT JR. M.D., PH.D.
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
King County (206) 987-2056
DR. LESLIE ANN DERVAN MD
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
King County (206) 987-0293
DR. INDI TREHAN MD
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2000
MS. JENNIFER PATANO CNP
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
King County (206) 987-8949
MRS. SUSAN L HOLTZCLAW ARNP
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
King County (206) 987-5691
SHENG ZHOU MD
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2105

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 Thomas Pendergrass's NPI number?

The NPI number for Thomas Pendergrass is 1124109483. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Thomas Pendergrass located?

Thomas Pendergrass practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-2106.

What is Thomas Pendergrass's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Thomas Pendergrass enrolled in Medicare?

Yes. Thomas Pendergrass is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Pendergrass was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.