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DR. ANTHONY RAY PENDLETON JR. MD
NPI 1215874284
Student in an Organized Health Care Education/Training Program in Wilmington, DE

Active since April 29, 2026PECOS Enrolled
1600 ROCKLAND RD STE 3D16, WILMINGTON, DE 19803(302) 651-5874(302) 651-5954 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anthony Ray Pendleton Jr. Md NPPES

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

DR. ANTHONY RAY PENDLETON JR. MD (NPI 1215874284) is an individual student in an organized health care education/training program in Wilmington, Delaware and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215874284
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ANTHONY RAY PENDLETON JR.Credential: MD
Location Address1600 ROCKLAND RD STE 3D16Wilmington, DE 19803-3607
Mailing Address1600 Rockland Rd Ste 3d16Wilmington, DE 19803-3607 · (302) 651-5874 · Fax (302) 651-5954
Phone(302) 651-5874
Fax(302) 651-5954
Sole ProprietorNo
Enumeration DateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1215874284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 ROCKLAND RD STE 3D16, Wilmington, DE 19803
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Ray Pendleton Jr. Md 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.

ANNA LACKEY DO
Pediatrics
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE 19803
New Castle County (302) 651-5874
DR. CAITLYN ELIZABETH SMITH DO
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE 19803
New Castle County (302) 651-5874
KAYLA MORRELL
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE 19803
New Castle County (302) 651-5874
KELLY RYAN
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE 19803
New Castle County (302) 651-5874
LONG TING JESSICA MUI MD
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE 19803
New Castle County (302) 651-5874
CASEY PATRICE SWANN
Student in an Organized Health Care Education/Training Program
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE 19803
New Castle County (302) 651-5874
JACLYN MARIE SCHULTZ DO
Pediatrics
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE 19803
New Castle County (302) 651-5874
MR. BRADY KEVIN STEVENS
Pediatrics
1600 ROCKLAND RD STE 3D16
WILMINGTON, DE 19803
New Castle County (302) 651-5874

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 Anthony Pendleton's NPI number?

The NPI number for Anthony Pendleton is 1215874284. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Anthony Pendleton located?

Anthony Pendleton practices at 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803. The listed phone number is (302) 651-5874.

What is Anthony Pendleton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anthony Pendleton enrolled in Medicare?

Yes. Anthony Pendleton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Pendleton was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.