Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KELLY CAROL PENG D.O
NPI 1013280718
Emergency Medicine in San Diego, CA

Active since February 12, 2012PECOS Enrolled
34800 BOB WILSON DRIVE, EMERGENCY MEDICINE DEPARTMENT, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Nov 7, 2023, Mar 22, 2023 (3 updates tracked since 2023).

About Dr. Kelly Carol Peng D.o NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY CAROL PENG D.O (NPI 1013280718) is an individual emergency medicine provider in San Diego, California, licensed in Virginia (0102203540) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1013280718
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KELLY CAROL PENGCredential: D.O
Location Address34800 BOB WILSON DRIVE, EMERGENCY MEDICINE DEPARTMENTSan Diego, CA 92134-0001
Mailing Address34800 Bob Wilson Drive, Emergency Medicine DepartmentSan Diego, CA 92134-0001 · (619) 532-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 12, 2012
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1013280718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in VA · 0102203540
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 0102203540 (VA)
34800 BOB WILSON DRIVE, San Diego, CA 92134

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Carol Peng D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375999212
PECOS Enrollment IDI20231027003029
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
Orthopaedic Surgery (Orthopaedic Trauma)
34800 BOB WILSON DRIVE, DEPT OF ORTHOPEDICS
SAN DIEGO, CA 92134
Obstetrics & Gynecology
34800 BOB WILSON DRIVE, NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134
Orthopaedic Surgery (Hand Surgery)
34800 BOB WILSON DRIVE, DEPT OF ORTHOPAEDIC SURGERY
SAN DIEGO, CA 92134
Registered Nurse (Case Management)
34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
Psychologist (Forensic)
34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
Psychologist (Clinical)
34800 BOB WILSON DRIVE, NAVAL MEDICAL CENTER
SAN DIEGO, CA 92134
Orthopaedic Surgery
34800 BOB WILSON DRIVE, SUITE 112
SAN DIEGO, CA 92134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Peng's NPI number?

The NPI number for Kelly Peng is 1013280718. It was assigned to this individual provider in the NPPES registry on February 12, 2012.

Where is Kelly Peng located?

Kelly Peng practices at 34800 Bob Wilson Drive Emergency Medicine Department, San Diego, CA 92134. The listed phone number is (619) 532-6400.

What is Kelly Peng's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kelly Peng enrolled in Medicare?

Yes. Kelly Peng is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kelly Peng affiliated with any hospitals?

According to CMS data, Kelly Peng is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Peng was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.