DR. PRABHAKAR DAMODAR PENDSE M.D. NPI 1588602122

NPI Information

  • NPI: 1588602122
  • Provider Name: DR. PRABHAKAR DAMODAR PENDSE, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • Address: 2131 S 17TH ST
    WILMINGTON, NC
    ZIP 28401
  • Phone: (910) 815-5830

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NPI Details

DR. Prabhakar Damodar Pendse, M.D. is a surgery in Wilmington, NC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Prabhakar Damodar Pendse, M.D. NPI is 1588602122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2131 S 17TH ST
WILMINGTON, NC
ZIP 28401-407
Phone: (910) 815-5830
Fax: (910) 815-5698

The enumeration date for this NPI number is 6/4/2006 and was last updated on 2/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery17733NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14098357OTHERNORTH CAROLINAAETNA
28966735MEDICAIDNORTH CAROLINA
366735OTHERNORTH CAROLINABCBS NC
4183728OTHERNORTH CAROLINAMEDCOST
5D62835MEDICARE UPIN
6NCC911AMEDICARE PINNORTH CAROLINA
71588602122MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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