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LISA PENG M.D.
NPI 1235206897
General Practice in Harvey, IL

Active since November 29, 2006PECOS Enrolled
31 W 155TH ST, HARVEY, IL 60426(708) 596-5177(708) 339-3583 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2024, Jun 10, 2022, Jul 7, 2021 and 1 more (4 updates tracked since 2020).

About Lisa Peng M.d. NPPES

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

LISA PENG M.D. (NPI 1235206897) is an individual general practice provider in Harvey, Illinois, licensed in Illinois (036104558) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235206897
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameLISA PENGCredential: M.D.
Location Address31 W 155TH STHarvey, IL 60426-3556
Mailing Address31 W 155th StHarvey, IL 60426-3556 · (708) 596-5177 · Fax (708) 339-3583
Phone(708) 596-5177
Fax(708) 339-3583
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 18, 20244 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1235206897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036104558
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
31 W 155TH ST, Harvey, IL 60426
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Other Identifiers 1

Medicaid036104558IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Peng M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Peng reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Christian Health Center
Same address
Federally Qualified Health Center (FQHC)
31 W 155TH ST
Harvey, IL 60426
  • Reassigned Medicare billing, Illinois enrollment
  • 42 clinicians in this Medicare group
NPI 1093855736 (708) 596-5177

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers33 claims70 services$4.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MISS MAIRA OCHOA APN
Nurse Practitioner (Family)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
TED GEORGE ODY ACHUFUSI DO
Family Medicine
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
BERYL ARMSTRONG LCPC
Counselor (Professional)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
JENNIFER R YOUNG LPC
Counselor
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
FAMILY CHRISTIAN HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
DR. STEPHANIE LIGGONS FNP-BC
Nurse Practitioner (Family)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
KRISTIN LUCAS M.D.
Pediatrics
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
FAMILY CHRISTIAN HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177

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 Lisa Peng's NPI number?

The NPI number for Lisa Peng is 1235206897. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Lisa Peng located?

Lisa Peng practices at 31 W 155th St, Harvey, IL 60426. The listed phone number is (708) 596-5177.

What is Lisa Peng's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lisa Peng enrolled in Medicare?

Yes. Lisa Peng is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Peng's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Peng reassigns Medicare benefits to Family Christian Health Center (Harvey, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Peng's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Peng was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.