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MICHAEL PATRICK PRENDERGAST MD
NPI 1730743964
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since April 23, 2019PECOS Enrolled
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-3433 Get Directions Write a Review

NPPES record last updated: September 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2022, Apr 23, 2019 (2 updates tracked since 2019).

About Michael Patrick Prendergast Md NPPES

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

MICHAEL PATRICK PRENDERGAST MD (NPI 1730743964) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730743964
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL PATRICK PRENDERGASTCredential: MD
Location Address1 CHILDRENS PLZDayton, OH 45404-1873
Mailing Address1 Childrens PlzDayton, OH 45404-1873 · (937) 641-3433
Phone(937) 641-3433
Sole ProprietorYes
Enumeration DateApril 23, 2019
Last NPPES UpdateSeptember 25, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2022
✔ NPI 1730743964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPediatricsTaxonomy 208000000X · License MD26386 (ME)
1 CHILDRENS PLZ, Dayton, OH 45404
Open in Google Maps ↗

Other Identifiers 1

OtherMD26386ME · Maine Board Of Medicine

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Patrick Prendergast 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.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANYA PAUL M.D
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
NICOLE LYNNE-BENDT SCOTT
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
CODY H MCMILLAN
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANIA MONTENEGRO MS, MPH
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-5923
MS. FAITH ANGELA CALLIF-DALEY M.S.
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Montgomery County (937) 641-5645
DR. EMMETT H BROXSON JR. MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3111
MISS SAUNDRA D ZERBE FNP
Nurse Practitioner (Family)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600

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 Michael Prendergast's NPI number?

The NPI number for Michael Prendergast is 1730743964. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Michael Prendergast located?

Michael Prendergast practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-3433.

What is Michael Prendergast's specialty?

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

Is Michael Prendergast enrolled in Medicare?

Yes. Michael Prendergast is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Prendergast was last updated on September 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.