Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Thomas Elliott Pendergrast, MD

Individual provider Diagnostic Radiology Physician · NPI 1548680366

Dr. Thomas Elliott Pendergrast, MD is a Diagnostic Radiology in Raleigh, North Carolina. Graduated from Wake Forest University School of Medicine in 2014, 12 years ago. Practices with Raleigh Radiology Wakemed Imaging, LLC, a 57-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
12
Trained at
Wake Forest University School of Medicine
Licensed in
NC, VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087
Phone: (919) 256-3576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 — (434) 200-5047

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2020-00123 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101271086 (VA)

Record details

NPI number1548680366
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2014
Last updated in NPPESApril 30, 2023
Certification dateApril 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Raleigh Radiology Wakemed Imaging, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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