Stephanie Pendergrass, MD
NPI 1790959203 · Pediatrics Physician · Albuquerque, NM
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephanie Pendergrass, MD is a Pediatrics Physician provider in Albuquerque, NM (NPI 1790959203).
Provider details
- NPI number
- 1790959203
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD2014-0832 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-15
- Last updated
- 2014-10-03
Frequently asked questions
- What is Stephanie Pendergrass's NPI number?
- Stephanie Pendergrass's National Provider Identifier (NPI) is 1790959203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephanie Pendergrass's specialty?
- Stephanie Pendergrass is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Stephanie Pendergrass located?
- Stephanie Pendergrass's practice location on file with NPPES is 11120 Malaguena Ln Ne, Albuquerque, NM 87111-6861.
- What is Stephanie Pendergrass's phone number?
- The practice phone number listed in the NPPES registry for Stephanie Pendergrass is (505) 401-8956.
- Does Stephanie Pendergrass accept Medicare?
- Stephanie Pendergrass is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephanie Pendergrass's NPI active?
- Yes — Stephanie Pendergrass's NPI (1790959203) is active in the NPPES registry as of the last update on 2014-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.