Dr Kenneth Roy Pendergrast, MD in Christiansburg, VA

Dr Kenneth Roy Pendergrast, MD is a medicare enrolled "Internal Medicine" physician in Christiansburg, Virginia. He graduated from medical school in 1987 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mcv Associated Physicians, Vigilias Llc and his current practice location is 2900 Lamb Cir, Christiansburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 731-2000.

Dr Kenneth Roy Pendergrast is licensed to practice in Kansas (license number 04-45914) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255304697.

Contact Information

	Dr Kenneth Roy Pendergrast, MD
	2900 Lamb Cir, Christiansburg, VA 24073-6344
	(540) 731-2000
	(540) 731-2659

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Roy Pendergrast
Gender	Male
Speciality	Internal Medicine
Experience	39 Years
Location	2900 Lamb Cir, Christiansburg, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kenneth Roy Pendergrast graduated from medical school in 1987

NPI Data:

NPI Number: 1255304697
Provider Enumeration Date: 02/08/2006
Last Update Date: 02/24/2026

Medicare PECOS Information:

PECOS PAC ID: 7719073410
Enrollment ID: I20100806000387

Medical Identifiers

Medical identifiers for Dr Kenneth Roy Pendergrast such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255304697	NPI	-	NPPES
6036732	Medicaid	VA
1255304697	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	0101042805 (Virginia)	Secondary
207R00000X	Internal Medicine	2022-01804 (North Carolina)	Secondary
207R00000X	Internal Medicine	0101042805 (Virginia)	Secondary
208M00000X	Hospitalist	04-45914 (Kansas)	Secondary
207R00000X	Internal Medicine	04-45914 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Catherine Hospital	Garden city, KS	Hospital
Community Memorial Hospital	South hill, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mcv Associated Physicians	4385542117	1580
Vigilias Llc	9133433279	40

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kenneth Roy Pendergrast allows following entities to bill medicare on his behalf.

Entity Name	Mcv Associated Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559

Entity Name	Lake Spring Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568954287 PECOS PAC ID: 1254689482 Enrollment ID: O20180806000449

Entity Name	Kingsford Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871088526 PECOS PAC ID: 0840541017 Enrollment ID: O20180927000385

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Roy Pendergrast is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kenneth Roy Pendergrast, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () -	Dr Kenneth Roy Pendergrast, MD 2900 Lamb Cir, Christiansburg, VA 24073-6344 Ph: (540) 731-2000

Reviews and Comments

Internal Medicine Doctors in Christiansburg, VA

Amjad Uzair Wyne, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2900 Lamb Cir, Suite 201, Christiansburg, VA 24073 Phone: 540-731-3172
Dr. Duong X Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir Ste 302, Christiansburg, VA 24073 Phone: 540-731-2000
Dr. Allan H Sklar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Phoenix Blvd Nw, Christiansburg, VA 24073 Phone: 540-381-3750 Fax: 540-381-3751
Mr. Matthew Benjamin Burns, AG-ACNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir Ste 7-700a, Christiansburg, VA 24073 Phone: 540-731-7460 Fax: 540-731-1081
Dr. Brian W. Behm, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Akers Farm Rd, Christiansburg, VA 24073 Phone: 540-381-6000
Dr. Ghazaleh Zardoost Aram, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Akers Farm Rd, Christiansburg, VA 24073 Phone: 540-382-9405 Fax: 540-382-2958
Dr. Thomas Paul Vacek, M.D., M.S. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir Ste 201, Christiansburg, VA 24073 Phone: 540-731-2328 Fax: 540-639-3950

Dr Kenneth Roy Pendergrast, MD - Medicare Internal Medicine in Christiansburg, VA