ALEXANDER NICHOLAS PRENDERGAST DO
NPI 1609444652
Internal Medicine in Philadelphia, PA

Q: What is Alexander Prendergast's NPI number?

The NPI number for Alexander Prendergast is 1609444652. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Q: What is Alexander Prendergast's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 16, 2021PECOS Enrolled

5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141(215) 456-7890 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Jun 16, 2021 (2 updates tracked since 2021).

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About Alexander Nicholas Prendergast Do NPPES

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

ALEXANDER NICHOLAS PRENDERGAST DO (NPI 1609444652) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS023863) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609444652

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameALEXANDER NICHOLAS PRENDERGASTCredential: DO

Location Address5501 OLD YORK RD STE 1Philadelphia, PA 19141-3098

Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098

Phone(215) 456-7890

Sole ProprietorNo

Enumeration DateJune 16, 2021

Last NPPES UpdateJune 27, 20242 updates tracked since enumeration

NPPES CertifiedJune 27, 2024

✔ NPI 1609444652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · OS023863

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5501 OLD YORK RD STE 1, Philadelphia, PA 19141

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Nicholas Prendergast Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

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.

GREGORY JOHNSON MD

Student in an Organized Health Care Education/Training Program