MISS KELLY CAROL PENG D.O
NPI 1013280718
Military Health Care Provider in Oceanside, CA

NPI Status: Active since February 12, 2012

Contact Information

200 MERCY CIRCLE
EMERGENCY MEDICINE DEPARTMENT
OCEANSIDE, CA
ZIP 92055
Phone: (760) 719-3994

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  • Individual
  • Female
  • Years of Experience 3
  • Military Health Care Provider
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KELLY PENG

This page provides the complete NPI Profile along with additional information for Kelly Peng, a provider established in Oceanside, California with a medical specialization in Military Health Care Provider and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1013280718 assigned on February 2012. The practitioner's primary taxonomy code is 171000000X with license number 0102203540 (VA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1013280718
Provider Name
MISS KELLY CAROL PENG D.O
Gender
Female
Entity Type
Individual
Location Address
200 MERCY CIRCLE EMERGENCY MEDICINE DEPARTMENT OCEANSIDE, CA 92055
Location Phone
(760) 719-3994
Mailing Address
200 MERCY CIRCLE EMERGENCY MEDICINE DEPARTMENT OCEANSIDE, CA 92055
Mailing Phone
(760) 719-3994
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
02-12-2012
Last Update Date
11-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider

Taxonomy Code
171000000X
Type
Other Service Providers
License No.
0102203540
License State
VA
Taxonomy Description
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

0102203540 (VA)

Medicare Participation & PECOS Enrollment Status

Kelly Peng is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kelly Peng is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3375999212

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231027003029

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kelly Peng is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
JOHN H STROGER JR HOSPITAL1901 W HARRISON ST
CHICAGO, IL 60612
(312) 864-6000Acute Care Hospitals

Reviews for MISS KELLY CAROL PENG D.O

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013280718, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 4 + 8 + 0 + 7 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1013280718.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
200 MERCY CIRCLE, NAVAL HOSPITAL CAMP PENDLETON
CAMP PENDLETON, CA 92055
Physical Therapist
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Military Hospital
200 MERCY CIRCLE, ATTENTION: CODE 00QM
CAMP PENDLETON, CA 92055
Student in an Organized Health Care Education/Training Program
200 MERCY CIRCLE, ATTN: MEDICAL STAFF SERVICES
CAMP PENDLETON, CA 92055
Surgery
200 MERCY CIRCLE, NAVAL HOSPITAL CAMP PENDLETON
CAMP PENDLETON, CA 92055
Nurse Practitioner (Psychiatric/Mental Health)
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Nurse Practitioner
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Family Medicine
200 MERCY CIRCLE, NAVAL HOSPITAL CAMP PENDLETON
CAMP PENDLETON, CA 92055
Student in an Organized Health Care Education/Training Program
200 MERCY CIRCLE, NAVAL HOSPITAL CAMP PENDLETON
CAMP PENDLETON, CA 92055
Nurse Practitioner (Pediatrics)
200 MERCY CIRCLE, BOX 555191 NAVAL HOSPITAL CAMP PENDLETON
CAMP PENDLETON, CA 92055
Dietitian, Registered
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Psychologist (Clinical)
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Radiology (Diagnostic Radiology)
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Dentist
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Student in an Organized Health Care Education/Training Program
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Psychologist (Clinical)
200 MERCY CIRCLE
OCEANSIDE, CA 92055
Military Health Care Provider
200 MERCY CIRCLE, PHARMACY DEPARTMENT
CAMP PENDLETON, CA 92055
Military Health Care Provider
200 MERCY CIRCLE
OCEANSIDE, CA 92055
Physician Assistant
200 MERCY CIRCLE
OCEANSIDE, CA 92055
Pediatrics
200 MERCY CIRCLE
OCEANSIDE, CA 92055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013280718, enumerated as an "individual" on February 12, 2012.

The provider is located at 200 MERCY CIRCLE EMERGENCY MEDICINE DEPARTMENT OCEANSIDE, CA 92055 and the phone number is (760) 719-3994.

Military Health Care Provider with taxonomy code 171000000X.

Kelly Peng is affiliated with: JOHN H STROGER JR HOSPITAL.