DANIEL LEO PENDLETON (MD) – Emergency Medicine Physician, NPI 1366555708

DANIEL LEO PENDLETON (MD) is a healthcare provider. based in North las vegas, Nevada. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 32361 (AZ). The NPI Number for DANIEL LEO PENDLETON (MD) is 1366555708

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL LEO PENDLETON (MD)
NPI
1366555708
Phone
(702) 777-3615
Address
1550 W Craig Rd
Enumeration Date
17 August 2006
Last Update Date
9 December 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7026164600
Graduation Year
2001 (25 years ago)
PAC ID
4981689726
Group Practice PAC ID
2163968603
Professional Enrollment ID
I20061020000473
Address ID
NV890155575HE102XXPKWY500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

520 EMERGENCY MEDICINE in NV

Provider Addresses for DANIEL LEO PENDLETON (MD)

  • 1550 W Craig Rd

    North Las Vegas, NV 890320327

    Phone: (702) 777-3615

    Fax: (702) 642-0808

    Type: Location

  • 9880 W Flamingo Rd

    Las Vegas, NV 891478085

    Phone: (702) 216-7335

    Fax: (702) 243-2560

    Type: Location

  • 4980 W Sahara Ave

    Las Vegas, NV 891463402

    Phone: (702) 216-7365

    Fax: (702) 889-0585

    Type: Location

  • 4855 Blue Diamond Rd

    Las Vegas, NV 891397602

    Phone: (702) 216-7305

    Fax: (702) 634-3000

    Type: Location

  • 102, Lake Mead Parkway, Water Street District, Henderson, Clark County, Nevada, 89015, United States

    HENDERSON, NV 890155575

    Phone: (330) 493-4443

    Fax: (330) 493-8677

    Type: Location

  • Canton Kinder Care, Dressler Road Northwest, Monterey Heights, Jackson Township, Stark County, Ohio, 44718, United States

    CANTON, OH 447182545

    Phone: (330) 493-4443

    Fax: (330) 493-8677

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061020000473IEmergency MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making189144$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only109101$0
99284Emergency department visit with moderate level of medical decision making108103$0
99291Critical care, first 30-74 minutes4141$0
99283Emergency department visit with low level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 89032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163968603View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineTN
Emergency MedicineIL
Nurse PractitionerTX
Emergency MedicineLA
Emergency MedicineCA
Emergency Medicine, Family PracticeTN
Emergency MedicineNV
Emergency MedicineCA
Emergency MedicineOH

Reviews

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Frequently asked questions

Can I verify DANIEL LEO PENDLETON (MD) with an NPI only?
You can start verification with NPI 1366555708 for DANIEL LEO PENDLETON (MD), then check state licensing separately.
Can I rely on DANIEL LEO PENDLETON (MD) being an active provider?
As of the registry snapshot, DANIEL LEO PENDLETON (MD) is marked active.
What is DANIEL LEO PENDLETON (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for DANIEL LEO PENDLETON (MD) here. Clinical services aligned with this taxonomy classification.
Where is DANIEL LEO PENDLETON (MD) based?
DANIEL LEO PENDLETON (MD) is tied to North Las Vegas, Nevada in the data we show; additional addresses may exist on the full record.
Why does DANIEL LEO PENDLETON (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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