KATHLEEN PRENDERGAST MD NPI 1649260753

NPI Information

  • NPI: 1649260753
  • Provider Name: KATHLEEN PRENDERGAST, MD
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 HOSPITAL DR
    SUITE 119
    GLEN BURNIE, MD
    ZIP 21061
  • Phone: (410) 787-4940

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NPI Details

Kathleen Prendergast, MD is an endocrinology and diabetes and metabolism internal medicine in Glen Burnie, MD with 29 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Kathleen Prendergast, MD NPI is 1649260753. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:1997

The provider's business location address is:

300 HOSPITAL DR
SUITE 119
GLEN BURNIE, MD
ZIP 21061-902
Phone: (410) 787-4940

The NPI 1649260753 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS:95251)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)

The enumeration date for this NPI number is 10/28/2005 and was last updated on 10/16/2014.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismD0063787MARYLANDYes

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
1F591-0022OTHERDISTRICT OF COLUMBIACAREFIRST BLUE CROSS
21080315OTHERMARYLANDAETNA HMO
362213902OTHERMARYLANDCAREFIRST BLUE CROSS
4403539901MEDICAIDMARYLAND
5M296MEDICARE PINMARYLAND
63301092OTHERMARYLANDUHC/AMERICHOICE
75831489OTHERMARYLANDAETNA PPO
8KSO4M296MEDICARE PINMARYLAND
9194995OTHERMARYLANDAMERIGROUP
10108887OTHERMARYLANDJOHNS HOPKINS HEALTH CARE
114987OTHERMARYLANDBRAVO/ ELDER HEALTH
127973311OTHERMARYLANDCIGNA
13H08187MEDICARE UPINMARYLAND

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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